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Myasthenia gravis and endurance exercise

ABSTRACT This is the first report of a runner with myasthenia gravis who completed an ultra endurance event. Myasthenia gravis, a neuromuscular disease that usually results in skeletal muscle weakness, which worsens with exercise and strenuous aerobic exercise, is generally contraindicated. Our runn...

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Bibliographic Details
Main Authors: Scheer, Bernd Volker (Author) , Valero-Burgos, Encarna (Author) , Costa, Ricardo (Author)
Format: Article (Journal)
Language:English
Published: August 1, 2012
In: American journal of physical medicine & rehabilitation
Year: 2012, Volume: 91, Issue: 8, Pages: 725-727
ISSN:1537-7385
DOI:10.1097/PHM.0b013e31824663c6
Online Access:Verlag, Volltext: https://journals.lww.com/ajpmr/Fulltext/2012/08000/Myasthenia_Gravis_and_Endurance_Exercise.11.aspx
Verlag, Volltext: http://dx.doi.org/10.1097/PHM.0b013e31824663c6
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Author Notes:Bernd Volker Scheer, Encarna Valero-Burgos, Ricardo Costa

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520 |a ABSTRACT This is the first report of a runner with myasthenia gravis who completed an ultra endurance event. Myasthenia gravis, a neuromuscular disease that usually results in skeletal muscle weakness, which worsens with exercise and strenuous aerobic exercise, is generally contraindicated. Our runner completed a 220-km, 5-day ultramarathon and presented with various symptoms including muscular skeletal weakness, cramps, generalized fatigue, unintelligible speech, involuntary eye and mouth movements, problems swallowing, food lodging in his throat, and problems breathing. Risk factors identified for exacerbations are running in extreme temperatures, prolonged runs (especially a distance of 30 km or more), running uphill, lack of sleep, and stress. The medical team was in the novel situation to look after a runner with myasthenia gravis and needed to be aware of the patient’s condition, symptoms, and risk factors to safely care for him. 
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