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Juvenile myasthenia gravis in Norway: A nationwide epidemiological study
T H Popperud1, M I Boldingh2, C Brunborg3
1Department of Neurology, Oslo University Hospital, Oslo, Norway; Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Background:
The aim of this study was to assess the incidence rate and prevalence of autoimmune myasthenia gravis (MG) among children in Norway.
Methods:
This retrospective population-based study was performed in Norway from January 2012 to December 2013. Cases of juvenile MG (JMG) with onset < 18 years were identified through searches in coding systems of electronic patient records at the 15 main hospitals in Norway from 1989 to 2013. In addition, the acetylcholine receptor antibody database at Haukeland University Hospital and the clinical nationwide MG database at Oslo University Hospital were searched for cases of JMG. Diagnosis and age at onset were verified through medical records. Incidence and prevalence rates were calculated using the Norwegian population as reference.
Results:
In total 63 unique JMG cases were identified. This corresponds to an average annual incidence rate of 1.6 per million. Incidence rate was stable over the study period. Prevalence of JMG was 3.6-13.8 per million. Females constituted the majority of JMG cases (55 vs 8 males). The risk of JMG was higher among females both in the postpubertal and prepubertal group (p < 0.001 and p = 0.02, respectively).
Conclusion:
This study confirms the rarity of JMG in Norway, especially among males, and shows a stable incidence rate over the last 25 years.
Insights
Juvenile myasthenia gravis (JMG) is rare in Norway, with a stable incidence rate over 25 years. This study found JMG is more common in females than males.
Area of Science:
- Neurology
- Pediatrics
- Epidemiology
Background:
- Autoimmune myasthenia gravis (MG) can affect children, termed juvenile MG (JMG).
- Understanding the epidemiology of JMG is crucial for healthcare planning.
Purpose of the Study:
- To determine the incidence and prevalence of juvenile myasthenia gravis (JMG) in Norway.
- To analyze trends in JMG occurrence over time.
Main Methods:
- A retrospective, population-based study in Norway (2012-2013).
- Identified JMG cases (<18 years) from hospital records (1989-2013), antibody databases, and MG registries.
- Verified diagnoses and age at onset through medical records.
Main Results:
- Identified 63 unique JMG cases, with an average annual incidence of 1.6 per million.
- Prevalence ranged from 3.6 to 13.8 per million.
- Females represented the majority (55 vs. 8 males), with higher JMG risk in both prepubertal and postpubertal females.
Conclusions:
- Juvenile myasthenia gravis (JMG) is confirmed as a rare condition in Norway.
- The incidence rate of JMG has remained stable over the past 25 years.
- JMG is significantly less common in males compared to females.
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