Acute-onset dysphagia: an uncommon presentation of myasthenia crisis.
Nithya Lathika Kishore, Lidia Dennis Chiramal, Lalee Varghese
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Case in brief
A patient with undiagnosed myasthenia gravis presented with acute-onset dysphagia, indicative of a myasthenia crisis. The case highlights the potential triggers, including an acute exacerbation of chronic rhinosinusitis and the use of high-dose oral corticosteroids. Management involved addressing the crisis, leading to resolution of symptoms.
What made this case unusual
The case illustrates an atypical presentation of myasthenia gravis, where dysphagia was the initial symptom, rather than the more common muscle weakness.
Diagnostic / clinical pearl
Clinicians should consider myasthenia gravis in patients presenting with acute dysphagia, especially when accompanied by potential precipitating factors.
Why it matters
Recognizing atypical presentations of myasthenia gravis can lead to timely diagnosis and management, potentially reducing morbidity associated with myasthenia crisis.