Show Summary Details
Page of

A Young Woman with Double Vision and Fatigue 

A Young Woman with Double Vision and Fatigue
Chapter:
A Young Woman with Double Vision and Fatigue
Author(s):

Janet Waters

DOI:
10.1093/med/9780190609917.003.0025
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2015. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy).

date: 22 September 2017

This chapter describes the effects of pregnancy on the disease course of myasthenia gravis. It is unmasked or exacerbated in one-third of pregnant women, with worsening symptoms occurring most commonly during the first trimester, the last four weeks of gestation, during delivery, and in the postpartum period. The chapter lists options for treatment, including medications, IVIG, and plasmapheresis, and points out the risks and benefits of each choice. It discusses the effects of the disease on the child before and after delivery, as well as the teratogenic potential of many of the drugs commonly used to treat the disease. Finally, it discusses the dilemma of treating myasthenic patients who develop eclampsia/preeclampsia.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.