Delayed remission after thymectomy for myasthenia gravis of the purely ocular type Hiroshige Nakamura, MD, Yuji Taniguchi, MD, Yoshimasa Suzuki, MD, Yoshiyuki.

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Presentation transcript:

Delayed remission after thymectomy for myasthenia gravis of the purely ocular type Hiroshige Nakamura, MD, Yuji Taniguchi, MD, Yoshimasa Suzuki, MD, Yoshiyuki Tanaka, MD, Kiyosuke Ishiguro, MD, Mikihisa Fukuda, MD, Hiroshi Hara, MD, Tohru Mori, MD The Journal of Thoracic and Cardiovascular Surgery Volume 112, Issue 2, Pages 371-375 (August 1996) DOI: 10.1016/S0022-5223(96)70264-7 Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 1 The effects with time of 22 thymectomies for purely ocular MG. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 371-375DOI: (10.1016/S0022-5223(96)70264-7) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 2 Remission rate after thymectomy for purely ocular MG over time according to age (A), age of onset (B), duration of illness before thymectomy (C), sex (D), operative procedure (E), germinal center (GC, F), and anti-AchR Ab (G). At the 5-year follow up interval, patients with duration of illness of 12 months or less had significantly better remission than those with durations of 13 months or more (p = 0.035 by Fisher's Exact Test). The Journal of Thoracic and Cardiovascular Surgery 1996 112, 371-375DOI: (10.1016/S0022-5223(96)70264-7) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 2 Remission rate after thymectomy for purely ocular MG over time according to age (A), age of onset (B), duration of illness before thymectomy (C), sex (D), operative procedure (E), germinal center (GC, F), and anti-AchR Ab (G). At the 5-year follow up interval, patients with duration of illness of 12 months or less had significantly better remission than those with durations of 13 months or more (p = 0.035 by Fisher's Exact Test). The Journal of Thoracic and Cardiovascular Surgery 1996 112, 371-375DOI: (10.1016/S0022-5223(96)70264-7) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 2 Remission rate after thymectomy for purely ocular MG over time according to age (A), age of onset (B), duration of illness before thymectomy (C), sex (D), operative procedure (E), germinal center (GC, F), and anti-AchR Ab (G). At the 5-year follow up interval, patients with duration of illness of 12 months or less had significantly better remission than those with durations of 13 months or more (p = 0.035 by Fisher's Exact Test). The Journal of Thoracic and Cardiovascular Surgery 1996 112, 371-375DOI: (10.1016/S0022-5223(96)70264-7) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 2 Remission rate after thymectomy for purely ocular MG over time according to age (A), age of onset (B), duration of illness before thymectomy (C), sex (D), operative procedure (E), germinal center (GC, F), and anti-AchR Ab (G). At the 5-year follow up interval, patients with duration of illness of 12 months or less had significantly better remission than those with durations of 13 months or more (p = 0.035 by Fisher's Exact Test). The Journal of Thoracic and Cardiovascular Surgery 1996 112, 371-375DOI: (10.1016/S0022-5223(96)70264-7) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 2 Remission rate after thymectomy for purely ocular MG over time according to age (A), age of onset (B), duration of illness before thymectomy (C), sex (D), operative procedure (E), germinal center (GC, F), and anti-AchR Ab (G). At the 5-year follow up interval, patients with duration of illness of 12 months or less had significantly better remission than those with durations of 13 months or more (p = 0.035 by Fisher's Exact Test). The Journal of Thoracic and Cardiovascular Surgery 1996 112, 371-375DOI: (10.1016/S0022-5223(96)70264-7) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 2 Remission rate after thymectomy for purely ocular MG over time according to age (A), age of onset (B), duration of illness before thymectomy (C), sex (D), operative procedure (E), germinal center (GC, F), and anti-AchR Ab (G). At the 5-year follow up interval, patients with duration of illness of 12 months or less had significantly better remission than those with durations of 13 months or more (p = 0.035 by Fisher's Exact Test). The Journal of Thoracic and Cardiovascular Surgery 1996 112, 371-375DOI: (10.1016/S0022-5223(96)70264-7) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 2 Remission rate after thymectomy for purely ocular MG over time according to age (A), age of onset (B), duration of illness before thymectomy (C), sex (D), operative procedure (E), germinal center (GC, F), and anti-AchR Ab (G). At the 5-year follow up interval, patients with duration of illness of 12 months or less had significantly better remission than those with durations of 13 months or more (p = 0.035 by Fisher's Exact Test). The Journal of Thoracic and Cardiovascular Surgery 1996 112, 371-375DOI: (10.1016/S0022-5223(96)70264-7) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 3 Relationship between remission and duration of illness before thymectomy in all 22 patients with ocular MG. Patients with shorter duration of illness had a tendency toward earlier remission. OP, Operation; ▴, onset of disease; ■, operation; •, remission; x, no remission. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 371-375DOI: (10.1016/S0022-5223(96)70264-7) Copyright © 1996 Mosby, Inc. Terms and Conditions