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A Young Woman with Double Vision and Fatigue 

A Young Woman with Double Vision and Fatigue
A Young Woman with Double Vision and Fatigue

Janet Waters

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date: 16 October 2021

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.

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