초록
Muscle specific tyrosine kinase (MuSK) myasthenia gravis (MG) is a rare subtype of MG, which is immunologically distinct and differential therapeutic response. Though MG is often associated with other autoimmune disorders or malignancy, concurrence of other disease and MuSK MG has been infrequently reported. We present a patient of MuSK MG associated with multicentric Castelman disease.
REFERENCES
1.Dispenzieri A., Armitage JO., Loe MJ., Geyer SM., Allred J., Camori-ano JK, et al. The clinical spectrum of Castleman's disease. Am J Hematol. 2012. 87:997–1002.
2.Day JR., Bew D., Ali M., Dina R., Smith PL. Castleman's disease associated with myasthenia gravis. Ann Thorac Surg. 2003. 75:1648–1650.
3.Chorzelski T., Hashimoto T., Maciejewska B., Amagai M., Anhalt GJ., Jablonska S. Paraneoplastic pemphigus associated with Castleman tumor, myasthenia gravis and bronchiolitis obliterans. J Am Acad Dermatol. 1999. 41:393–400.
4.Wang HW., Pittaluga S., Jaffe ES. Multicentric Castleman disease: where are we now? Semin Diagn Pathol. 2016. 33:294–306.
5.Cheuk W., Chan JK. Lymphadenopathy of IgG4-related disease: an underdiagnosed and overdiagnosed entity. Semin Diagn Pathol. 2012. 29:226–234.
6.Hurst RL., Gooch CL. Muscle-specific receptor tyrosine kinase (MuSK) myasthenia gravis. Curr Neurol Neurosci Rep. 2016. 16:61.