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Teratogen update: Maternal myasthenia gravis as a cause of congenital arthrogryposis

✍ Scribed by Polizzi, A. ;Huson, S.M. ;Vincent, A.


Book ID
101322803
Publisher
John Wiley and Sons
Year
2000
Tongue
English
Weight
186 KB
Volume
62
Category
Article
ISSN
0040-3709

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✦ Synopsis


Background: Arthrogryposis multiplex congenita (AMC) is defined as nonprogressive congenital contractures that generally result from lack of fetal movement in utero. AMC is a feature of many congenital disorders caused by genetic, environmental, or other factors. One rare cause of AMC is maternal myasthenia gravis (MG). This is an autoimmune disorder, caused by antibodies to the nicotinic acetylcholine receptor (AChR), and resulting in weakness of voluntary muscles. In 10 -15% of babies born to MG mothers, transient signs of MG are noted after placental transfer of anti-AChR antibodies. In a few cases, AMC predominates.

Methods:

We review the role of antibodies to AChR in MG and in AMC associated with maternal antibodies to AChR.


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