Fetal acetylcholine receptor inactivation syndrome and maternal myasthenia gravis: a case report

Patrizia Papacci, Eugenio Maria Mercuri, Adele D'Amico, Enrico Silvio Bertini, Flaviana Bianco, L Jacobson, A Vincent

Risultato della ricerca: Contributo in rivistaArticolo in rivista

14 Citazioni (Scopus)

Abstract

Fetal acetylcholine receptor inactivation syndrome is a rare condition occurring in newborns of myasthenic mothers, characterized by bulbar and facial weakness after recovery from the generalized muscle weakness. Antibodies against fetal subunit of acetylcholine receptor seem to have a pathogenetic role leading to long-lasting injury in vulnerable muscle groups. We report a girl, born to a myasthenic mother, who presented with this peculiar phenotype associated with high titers of antibodies specific to the fetal acetylcholine receptor. Although the infant had partial clinical improvement she died prematurely of aspiration pneumonia. We believe that this is a rare but possibly unrecognized condition that should be considered in newborns with persistent myasthenic features even in asymptomatic mothers, and clinicians should consider supportive intervention to avoid fatal complications.
Lingua originaleEnglish
pagine (da-a)546-548
Numero di pagine3
RivistaNeuromuscular disorders : NMD
Volume22
DOI
Stato di pubblicazionePubblicato - 2012

Keywords

  • Autoantibodies
  • Child of Impaired Parents
  • Fatal Outcome
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Maternal-Fetal Exchange
  • Myasthenia Gravis
  • Pregnancy
  • Receptors, Cholinergic

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