小児重症筋無力症のCrisis—自験例を中心に

Crisis in Myasthenia Gravis in Infancy and Childhood

　重症筋無力症の治療上の重要な問題点としてcrisisがある。小児期重症筋無力症のcrisisについて，まとまつた報告はほとんどない。そこでわれわれは九大小児科において経験した本症のcrisisについて紹介する。

Twenty-eight cases of myasthenia gravis in infancy and childhood (generalized type : 10 cases, ocular type : 18 cases) were observed in Dept. of Pediatrics of Kyushu University since 1962. Among these patients episodes of crisis occurred in 4 cases, in which as precipitating factor infection may have been incriminated in 2 cases.

Case 1. A 10-year-old boy with generalized type of myasthenia gravis had 2 times of myasthenic crisis, which precipitating factor might be infection. This patient had also hyperthyroidism.