Clinical Conversations: Myasthenia Gravis – A Practical Approach for GPs | Part three

Dr Fiona Chan

writer

Dr Fiona Chan

Neurologist; Specialising in Neuro-Ophthalmology and Neuro-Immunology

Dr Fiona Chan

 

This article about myasthenia gravis highlights the central role GPs have in the diagnosis and ongoing management of patients with this rare condition. This is part three of a three-part article.

This is part three of this series.
Read Part 1 >>
Read Part 2 >>

Practice points
• Patients need to continue keeping active; they will feel fatigued and it will be hard, because this is a condition that is exacerbated by more activity and it’s important to not misinterpret fatigue as worsening myasthenia weakness.

• It is extremely difficult to differentiate therapy-related side-effects from an adjustment disorder due to an initial diagnosis of myasthenia gravis. Mental health problems are common in our society.

• Replace what vitamins and minerals you are depleted in. If you are already replete, then the indication is not strong for supplementation.

• Myasthenia Gravis Patient Association groups are excellent to refer patients to.

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