Kitthaweesin, KitthisakAuvichayapat, NarongPanamonta, Ouyporn2009-05-272009-05-272005-11-10Kitthaweesin K, Auvichayapat N, Panamonta O. Ocular myasthenia gravis and auto-immune thyroiditis in children. Journal of the Medical Association of Thailand. 2005 Nov; 88 Suppl 9(): S131-3http://imsear.searo.who.int/handle/123456789/41937Chotmaihet Thangphaet.A 7-year-old girl presented at a university hospital with ptosis of the left eye. This resolved spontaneously within 4 weeks but then the right eye became similarly affected but responded to prostigmine. Left hypertropia with restriction of the right inferior rectus, mild exophthalmos, non-tender diffuse enlargement of the thyroid, normal thyroid function tests, anti-thyroglobulin, and anti-microsomal antibodies indicated an association of autoimmune thyroiditis and ocular myasthenia. The ptosis was remedied with pyridostigmine and short-course oral prednisolone, but the hypertropia persisted.engAntithyroid Agents --therapeutic useBlepharoptosis --complicationsChildFemaleFollow-Up StudiesHumansMyasthenia Gravis --complicationsNeostigmine --therapeutic useRisk AssessmentSeverity of Illness IndexThyroid Function TestsThyroiditis, Autoimmune --complicationsTreatment OutcomeCase Reports