TY - JOUR UR - https://www.thepractitioner.co.uk//Symposium/Neurology/12101-/GPs-should-be-vigilant-for-acute-deterioration-in-myasthenia-gravis A1 - Orrell, RW A1 - Al-Mayhani, T ID - discovery10117242 JF - The Practitioner Y1 - 2020/09// N2 - Myasthenia gravis is an autoimmune disorder of neuromuscular junction transmission. It is relatively rare, with an approximate annual incidence of 1 per 100,000 population, and prevalence of 15 per 100,000 population in the UK. An ocular presentation may include fatiguing ptosis or diplopia. Typically, symptoms ?fatigue? (the physical power of the muscle deteriorates rapidly with repeated activity) and become more noticeable as the day progresses. More generalised symptoms include fatiguing difficulty with speech or swallowing. There may be fatiguing weakness of the arms and legs. The diagnosis will usually be confirmed by referral to a neurologist. AV - public IS - 1840 VL - 264 TI - GPs should be vigilant for acute deterioration in myasthenia gravis EP - 19 N1 - This version is the author accepted manuscript. For information on re-use, please refer to the publisher?s terms and conditions. SP - 15 ER -