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Revista Cubana de Pediatría
On-line version ISSN 1561-3119
Abstract
CHRISTIAN LOPEZ, Leticia de la Caridad et al. Estudio de apoptosis linfoide por esteroides en 1 caso con miastenia gravis: Seguimiento por ultrasonografía. Rev Cubana Pediatr [online]. 2001, vol.73, n.1, pp. 60-63. ISSN 1561-3119.
Myasthenia gravis is a clinical agent of autoimmune origin, whose habitual therapy includes anticholinergic drugs, thymectomy, or therapy with steroids. The objective of this paper was to know the changes that occur in the size of the thymic area in a 2-year-old patient with juvenile myasthenia gravis and with thymic hyperplasia. This gland reached a maximum area of 1 928 mm and with the use of 60 mg of prednisone per week a medicamentosus thymectomy was performed with the reduction of the thymic area to 439 mm and total remission of the symptomatology. The changes of the area of this organ were periodically measured during a year. There were no relapses of the base disease. The ultrasonography proved to be a useful method, since it is fast, cheap and noninvasive and allows an adequate control of the steroids dose to be administered.
Keywords : MYASTHENIA GRAVIS [complications]; STEROIDS [therapeutic use]; ULTRASONOGRAPHY [methods]; CHILD.