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[Scleroderma, thyroiditis, and myasthenia gravis: study of a case]
A L Werneck1, T Checcacci-Balod, G Tuma
1Serviço de Neurologia, Hospital Central do Instituto de Assitência aos Servidores do Estado do Rio de Janeiro (HC/IASERJ), Brasil.
Abstract:
A thirty-six years old woman with myasthenia gravis developed cold intolerance after two years, and Hashimoto's thyroiditis diagnosis was established. Four years later she exhibited skin thickening (limited scleroderma). Laboratory and clinical findings suggested the CREST type of systemic sclerosis. Difficulty in scleroderma diagnosis is discussed, as overlap of syndromes. Hashimoto's thyroiditis and myasthenia gravis are infrequently associated. Occurrence of scleroderma and myasthenia gravis in the same patient is rare. The coincidence of these three disorders was not found in literature.