Cause of acute onset dysphagia in a geriatric female patient

Authors: Kamila Šablaturová
Authors‘ workplace: Sanatorium Jih, Ostrava
Published in: Geriatrie a Gerontologie 2021, 10, č. 4: 226-232


The case report presents an unlikely cause of acute onset dysphagia in a geriatric female patient – myasthenia gravis. Both the course of the disease as well as diagnostic procedures and ultimately fatal complications are described. Myasthenia gravis affects mostly working-age population, leading to disability in some individuals. If diagnosed in elderly patients with early bulbar and respiratory symptoms, the prognosis is far worse. It is a chronic autoimmune condition associated with fluctuating muscle weakness and fatigue. To establish the diagnosis, a careful assessment of patient’s history followed by neurologic examination, stress tests, detection of serum auto-antibodies and electromyography must be made. Myasthenia gravis treatment is long-term with the goal of clinical remission.


dysphagia – myasthenia gravis – muscle weakness – autoimmune disease – acetylcholine receptor


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Geriatrics General practitioner for adults Orthopaedic prosthetics
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