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...
Flutebell
It is not an indication of different kinds or forms of MG. Instead, it is a scale for medical personnel to grade the severity of how MG is affecting an individual.
Flutebell, have you and the other MGer both been tested for MuSK antibodies and LRP4 antibodies? My understanding is that as research uncovers new antibodies that cause MG, researchers are gaining more understanding about what all of us have always known, i.e., that MG is manifested differently in all of us. If you have MuSK or LRP4 antibodies, your disease will respond to certain meds differently than they will for someone who whose MG is not a result of those antibodies. Your symptoms may be different or more severe than for others. Essentially, research is showing that one reason MG looks so different in patients is due to which antibodies are attacking the patient's body. Research continues to uncover additional antibodies that cause the body to have MG symptoms. No doubt, as further antibodies are identified, we will gain further understanding why each of us responds differently. Hope this helps.
LadyLife, I've been tested for MuSK and LEMS, but not LRP4. It took 49 weeks and many hoops just to get the tests I did get. The neuro who discharged me and said I didn't have MG (because I got worse in the cold) had earlier said that there are probably 100 antibodies that cause MG and we can only test for a few.
I likely have one that messes up the calcium functioning of the nerve/muscles junction as I get quite ill when my blood calcium (normally quite tightly regulated, even in folks with osteoporosis) is low. That was the only time I ever had a droopy eyelid!
So I just have to stay alive and keep things under careful control until my antibody is discovered! Fortunately I've never had a crisis - just a few scares with low potassium or low Vitamin D. I'm just glad that I can buy the things I need to stay alive from a pharmacy. Those pills plus Mestinon give me a pretty good quality of life, for now.
Flutebell