Plasmapheresis by Hemodialysis Machine: Treatment in Myasthenic Crisis

Abstract

          Myasthenic crisis is a potentially life-threatening complication of myasthenia gravis. We reported a 33 year-old woman who presented with dysphagia and respiratory failure that was compatible with myasthenic crisis. She failed to respond to initial treatment with pyridostigmine and prednisolone. She could not wean the respirator and subsequently she had subcutaneous emphysema and had side effect of pyridostigmine. After initiation with plasmapheresis she could wean the respirator and was discharged alter 19 days.