Luh Ari Indrawati

Introduction Myasthenia gravis (MG) is an autoimmune disease characterized by fluctuating weakness of the extraocular, bulbar, and proximal muscles.1 Autoantibodies against the postsynaptic nicotinic acetylcholine receptor can be found in the serum of about 85% of patients and provide confirmation of the diagnosis.2 Muscle weakness will be worsened with activity and improved after resting.3 Approximately 15–20% of patients with MG experience a myasthenic crisis in the first 2 years after...