Lu sur https://www.ncbi.nlm.nih.gov/pubmed/28590545
Traduction disponible directement en cliquant en bas à droite de ce message sur notre forum
The utility of a single simple question in the evaluation of patients with myasthenia gravis.
Abraham A1, Breiner A1, Barnett C1, Katzberg HD1, Bril V1.
Muscle Nerve. 2017 Jun 7. doi: 10.1002/mus.25720.
Assessing myasthenia gravis (MG) can be challenging, and multiple scales are available to evaluate disease severity. We evaluated the utility of a single simple question, namely "what percentage of normal do you feel regarding your MG, 0-100% normal", as part of the MG evaluation.
A retrospective chart review of patients attending the neuromuscular clinic from 01/2014 to 12/2015 was performed. Responses were correlated with symptoms and signs, QMGS (quantitative myasthenia gravis score), MGII (myasthenia gravis impairment index), and MG-QOL15 (myasthenia gravis quality of life).
The total cohort included 169 patients. The percentage of normal correlated strongly with limb muscle weakness and MG scales, moderately with bulbar and respiratory symptoms, and weakly with ocular manifestations.
The question "what percentage of normal do you feel regarding your MG", is a feasible and valid question, and can be incorporated easily into routine clinical evaluation.