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Published 19 August 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.09.2008.0874]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Unusual presentation of more common disease/injury

Association between sarcoidosis and Behçet disease in a young woman with symptoms mimicking myasthaenia gravis

I-Fang Hsin1, Chang-Youh Tsai1,2

1 Taipei Veterans General Hospital, Division of Allergy, Immunology and Rheumatology, 201 Shih-Pai Road Section 2, Taipei, 112, Taiwan
2 National Yang-Ming University, Faculty of Medicine, 155 Li-Nong Street, Taipei, 112, Taiwan

Correspondence to:
Chang-Youh Tsai, cytsai{at}vghtpe.gov.tw

SUMMARY

The present report concerns a young woman with long-standing Behçet disease (BD), who developed sarcoidosis and myasthaenia gravis (MG)-like syndrome. Although an itching sensation after intravenous methylprednisolone made treatment more difficult, low-dose oral methylprednisolone, thalidomide and ciclosporin A relieved the chronic granulomatous inflammation and pyridostigmine controlled the ptosis.


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