Myasthenia Gravis Support Group
Myasthenia gravis (MG) is a neuromuscular disease leading to fluctuating muscle weakness and fatiguability. The hallmark of myasthenia gravis is muscle weakness that increases during periods of activity and improves after periods of rest. Although myasthenia gravis may affect any voluntary muscle, muscles that control eye and eyelid movement, facial expression, and...
Get well soon!
TJ
I have never had the thymectomy because of my poor respiratory function but as I understand it, the thymus gland they suspect is instrumental in seeing our bodies own muscle receptors as invaders and at throwing out into circulation antibodies against those receptors which cause MG. Once the thymus has had time to formulate this response there are cells left in the circulation with a memory so that even if the thymus is then removed some of these cells perpetuate the auto-immune response. That is why they say that it is best to have the surgery in the first year after diagnosis before the thymus has had time to launch too much of an attack and also why you still can get the symptoms post thymectomy although as Sarah says there are also antibodies produced in the bone marrow that cause MG. There seems to only be a sketchy understanding of the role of the thymus gland so no one really knows but thats how it was described in a talk I went to and it makes sense. Just to say That I have been on the drugs you are on as well. The Cyclosporine was for me the most effective but I had to stop it because of renal side effects. The immuran I am still on. Just to say that it can take up to 2 years to show it's maximum effect especially in severe disease although you may see improvements at 3-6 months so don't expect changes too soon. Like you I also have had many crises associated with tapering my pred. Hopefully the immuran and cyclosporine will eventually allow you to reduce your dose. Hope this helps! Hang in there and shout if you want to ask any questions.
Ange
We have all been there at one point or another. I remember going grocery shopping with double vision and about to pass out before I evn got to the check stand... but kept going. I had my thelectomy late June of this year and I am slowly tapering of the prednisone and am taking the azathorprine at this time. Personally, the lower I go down off the prednisone the weaker I am beginning to feel. I know that the surgey results will take some time before I see results, but please stay positive and know that you are not alone.
I had a thymoma removed in March 2009. I month later I was diagnosed with mg. I was treated with high dose of prednisone 120/day and mestinon 30 mg. per day. I was weak from the thymectomy and also I had developed c-dif, but I notices immediate improvement. I have been doing great,except for the last week or so. A cat scan showed"something" in the area where my thymoma was. I am having a biopsy tomorrow at Mass General. I think the stress, plus my prednisone being lowered ( I was down to 30 mg EOD ( every other day) caused the flair. I am back to 30 mg a day and anxious about the biopsy, so not sure how i feel. I had acheived a drug induces remmissionthough,a nd felt great!