The rare coexistence of systemic lupus erythematosus and myasthenia gravis in a 17-year-old female

Abstract EN

Systemic lupus erythematosus (SLE) and Myasthenia Gravis (MG) are two distinct diseases, which can coexist or precede each other; however, their occurrence in the same patient is rare.

this rare phenomenon has already been observed; however, only sporadic clinical cases have been described.

a seventeen-year-old female who is a known case of SLE developed MG years later.

nerve conduction studies showed the decremental response over facial muscles and right median nerve.

anti-acetylcholine receptor (AChR) antibodies were positive.

she was treated with oral pyridostigmine 60 mg three times a day.

clinical improvement and resolve of muscular weakness was seen within a couple of days.

the patient was discharged on prednisolone 10 mg OD and pyridostigmine 60 mg TDS.