Case Report

A case of myasthenia gravis emerging after prior diagnosis of CIDP: Clinical challenges in overlapping autoimmune disorders

Volume: 64 Number: 4 December 8, 2025
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A case of myasthenia gravis emerging after prior diagnosis of CIDP: Clinical challenges in overlapping autoimmune disorders

Abstract

Chronic inflammatory demyelinating polyneuropathy (CIDP) and myasthenia gravis (MG) are distinct autoimmune neuromuscular disorders that rarely coexist. We present a 52-year-old man with stable CIDP who developed progressive lower limb weakness and facial involvement. Electrophysiological studies revealed neuromuscular junction dysfunction, and elevated acetylcholine receptor antibodies confirmed MG. Treatment with pyridostigmine, intravenous immunoglobulin, and rituximab resulted in clinical stabilization. This case shows the importance of considering overlapping autoimmune disorders in CIDP patients with new or atypical symptoms. Early recognition using electrophysiological and serological tests is important for accurate diagnosis and effective management of coexisting CIDP and MG.

Keywords

References

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Details

Primary Language

English

Subjects

Neurology and Neuromuscular Diseases

Journal Section

Case Report

Publication Date

December 8, 2025

Submission Date

July 11, 2025

Acceptance Date

September 30, 2025

Published in Issue

Year 2025 Volume: 64 Number: 4

Vancouver
1.Şeyma Aykaç, Abdullah Arı, Birgül Dere, Yaprak Seçil, Ayşe Nur Yüceyar. A case of myasthenia gravis emerging after prior diagnosis of CIDP: Clinical challenges in overlapping autoimmune disorders. EJM. 2025 Dec. 1;64(4):716-20. doi:10.19161/etd.1736794

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