[Pubmed] Cushing's syndrome developing myasthenia gravis with takotsubo cardiomyopathy after adrenalectomy: a case repor

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BMC Neurol. 2024 Sep 20;24(1):355. doi: 10.1186/s12883-024-03866-y.

ABSTRACT

BACKGROUND: Several cases of autoimmune disease onset after treatment for Cushing's syndrome have been reported.

CASE PRESENTATION: Herein, we report a case of myasthenia gravis crisis in a 51-year-old woman 2 months after adrenalectomy for adrenal Cushing's syndrome accompanied by takotsubo cardiomyopathy. The resolution of excessive endogenous cortisol after adrenalectomy may have triggered the onset of previously latent myasthenia gravis.

CONCLUSIONS: Observing the similarities in symptoms between myasthenia gravis and adrenal crisis, which can sometimes be challenging to differentiate, is essential. Moreover, the presence of takotsubo cardiomyopathy as a non-motor manifestation of myasthenic crisis must be noted.

PMID:39304804 | DOI:10.1186/s12883-024-03866-y


Source: https://pubmed.ncbi.nlm.nih.gov/3930480 ... t9+e462414