{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T03:55:43Z","timestamp":1777002943239,"version":"3.51.4"},"reference-count":48,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,10,20]],"date-time":"2024-10-20T00:00:00Z","timestamp":1729382400000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Brain and Behavior"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of this study is to ascertain whether COVID\u201019 Omicron infection is associated with exacerbations in these myasthenia gravis (MG) patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>\n                      In total, 289 MG patients (comprising 60% females, with an average age of 46 \u00b1 15 years) were enrolled. A total of 80.9% of MG patients reported a COVID\u201019 infection, with the majority experiencing a benign course (88%). MG patients who experienced COVID\u201019 infection demonstrated a higher likelihood of MG exacerbation, compared to those without the infection (18.8%\u00a0vs. 7.3%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.039). In the survival analysis, after adjusting for confounding factors, the hazard ratio (HR) for exacerbation post\u2010infection was found to be 3.38 (95% CI 1.20\u20139.53,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.021). Compared to the exacerbation rates observed in JTA21, an increase was noted in DTM23 among COVID\u201019\u2010infected MG patients (4.4%\u00a0vs. 17.2%,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The COVID\u201019 is the risk of MG exacerbation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/brb3.70074","type":"journal-article","created":{"date-parts":[[2024,10,20]],"date-time":"2024-10-20T23:23:06Z","timestamp":1729466586000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Risk of Exacerbation of Myasthenia Gravis After COVID\u201019 Omicron Infection"],"prefix":"10.1002","volume":"14","author":[{"given":"Nana","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Neurology, West China Hospital Sichuan University  Chengdu Sichuan Province PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ziya","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurology, West China Hospital Sichuan University  Chengdu Sichuan Province PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dongren","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Neurology, West China Hospital Sichuan University  Chengdu Sichuan Province PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongxi","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Neurology, West China Hospital Sichuan University  Chengdu Sichuan Province PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7637-1305","authenticated-orcid":false,"given":"Hongyu","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Neurology, West China Hospital Sichuan University  Chengdu Sichuan Province PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,20]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3181a41211"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2015.01.022"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.27324"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/22221751.2022.2060137"},{"key":"e_1_2_9_6_1","unstructured":"COVID\u201019 Clinical and Surveillance Data\u2014December 9 2022 to April 27 2023 China. 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