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Old 05-06-2013
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Default Hard-to-control Myasthenia

Just a doubt, may sound stupid :

Hard to control Myasthenia gravis with pyridostigmine/neostigmine, ,,<<60years old patient

Thymectomy is to be done irrespective of thymic hyperplasia/thymoma??? or only if thymic hyperplasia is present

If thymic hyperplasia not present then go for steroids/Cyclophosphamide

Can anybody advise
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