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A Case Report and Review of the Literature

Robert M. Pascuzzi, MD; Karen L. Roos, MD; Lawrence H. Phillips II, MD

Arch Neurol. 1986;43(6):621-623.

Abstract
• A 76-year-old woman with a history of granulomatous pulmonary disease presented with myasthenia gravis involving ocular, pharyngeal, and proximal extremity weakness. She responded to prednisone therapy but three years later developed predominantly distal appendicular weakness. Reinvestigation demonstrated a granulomatous inflammatory myopathy.

Author Affiliations
From the Department of Neurology, University of Virginia School of Medicine, Charlottesville.

Footnotes
Accepted for publication Sept 8, 1985.

Reprint requests to Box 394, Department of Neurology, University of Virginia, Charlottesville, VA 22908 (Dr Phillips).

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