Nutrition
Volume 25, Issue 10 , Pages 1067-1072 , October 2009

Refractory myasthenia gravis, dysphagia and malnutrition: A case report to suggest disease-specific nutritional issues

  • Emanuele Cereda, M.D.

      Affiliations

    • International Center for the Assessment of Nutritional Status (ICANS), University of Milan, Italy
    • Corresponding Author InformationCorresponding author. Tel.: +39-02-503-16079; fax: +39-02-503-16077.
    • ,
  • Dario Beltramolli, M.D.

      Affiliations

    • Dietetic and Clinical Nutrition Unit, Trento Hospital, Trento, Italy
    • ,
  • Carlo Pedrolli, M.D.

      Affiliations

    • Dietetic and Clinical Nutrition Unit, Trento Hospital, Trento, Italy
    • ,
  • Antonio Costa, M.D.

      Affiliations

    • Dietetic and Clinical Nutrition Unit, Trento Hospital, Trento, Italy

Received 17 September 2008 ,Accepted 14 December 2008.

References 

  1. Vincent A. Unravelling the pathogenesis of myasthenia gravis. Nat Rev Immunol. 2002;2:797–804
  2. Conti-Fine BM, Milani M, Kaminski HJ. Myasthenia gravis: past, present, and future. J Clin Invest. 2006;116:2843–2854
  3. Juel VC, Massey JM. Myasthenia gravis. Orphanet J Rare Dis. 2007;2:44
  4. ASPEN Board of Directors and the Clinical Guidelines Task Force . Guidelines for the use of parenteral and enteral nutrition in adult and pediatric patients. JPEN. 2002;26(suppl):1SA–138
  5. Gencosmanoglu R. Percutaneous endoscopic gastrostomy: a safe and effective bridge for enteral nutrition in neurological or non-neurological conditions. Neurocrit Care. 2004;1:309–317
  6. Löser C, Aschl G, Hébuterne X, Mathus-Vliegen EM, Muscaritoli M, Niv Y, et al. ESPEN guidelines on artificial enteral nutrition—percutaneous endoscopic gastrostomy (PEG). Clin Nutr. 2005;24:848–861
  7. Lister R. Oropharyngeal dysphagia and nutritional management. Curr Opin Gastroenterol. 2006;22:341–346
  8. García-Carrasco M, Escárcega RO, Fuentes-Alexandro S, Riebeling C, Cervera R. Therapeutic options in autoimmune myasthenia gravis. Autoimmun Rev. 2007;6:373–378
  9. Howard P, Jonkers-Schuitema C, Furniss L, Kyle U, Muehlebach S, Odlund-Olin A, et al. Managing the patient journey through enteral nutritional care. Clin Nutr. 2006;25:187–195
  10. Baldwin C, Weekes CE. Dietary advice for illness-related malnutrition in adults. Cochrane Database Syst Rev. 2008;1:CD002008
  11. McIntyre K, McVaugh-Smock S, Mourad O. An adult patient with new-onset dysphagia. CMAJ. 2006;175:1203
  12. Ertekin C, Yüceyar N, Aydogdu I. Clinical and electrophysiological evaluation of dysphagia in myasthenia gravis. J Neurol Neurosurg Psychiatry. 1998;65:848–856
  13. Oda AL, Chiappetta AL, Annes M, Marchesan IQ, Oliveira AS. Clinical, endoscopical and manometric evaluation of swallowing in patients with acquired autoimmune myasthenia gravis. Arq Neuropsiquiatr. 2002;60:986–995
  14. Seltzer MH, Bastidas JA, Cooper DM, Engler P, Slocum B, Fletcher HS. Instant nutritional assessment. JPEN. 1979;3:157–159
  15. Bozzetti F, Mariani L, Bertinet DB, Chiavenna G, Crose N, De Cicco M, et al. Central venous catheter complications in 447 patients on home parenteral nutrition: an analysis of over 100.000 catheter days. Clin Nutr. 2002;21:475–485
  16. Frisancho AR. New norms of upper limb fat and muscle areas for assessment of nutritional status. Am J Clin Nutr. 1981;34:2540–2545

PII: S0899-9007(09)00111-7

doi: 10.1016/j.nut.2008.12.016

Nutrition
Volume 25, Issue 10 , Pages 1067-1072 , October 2009

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