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Myasthenia gravis is an autoimmune disease where acetylcholine receptors at the neuromuscular junction are progressively destroyed. This interferes with muscle contraction causing muscle weakness and fatigue. In many patients, removal of the thymus gland can induce remission of the disease. Drug therapy includes the use of anticholinesterase drugs, anti-inflammatory corticosteroids and immunosuppressant drugs in resistant cases. The first two case studies are about hypothetical patients who might be seen in the podiatry clinic. However, other health care professionals might see similar patients for other reasons.

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