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We would like to discuss the role of acute exacerbation of chronic rhinosinusitis and the administration of high-dose oral corticosteroids in the precipitation of the myasthenia crisis in this patient.<\/jats:p>","DOI":"10.1136\/bcr-2025-265182","type":"journal-article","created":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T07:35:15Z","timestamp":1788593715000},"page":"e265182","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Acute-onset dysphagia: an uncommon presentation of myasthenia crisis"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4950-4527","authenticated-orcid":false,"given":"Nithya Lathika","family":"Kishore","sequence":"first","affiliation":[{"name":"ENT, Christian Medical College Vellore, Vellore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lidia Dennis","family":"Chiramal","sequence":"additional","affiliation":[{"name":"ENT, Christian Medical College Vellore, Vellore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9281-7071","authenticated-orcid":false,"given":"Lalee","family":"Varghese","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Christian Medical College Vellore, Vellore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,9,4]]},"reference":[{"key":"2026090500500982000_19.9.e265182.1","doi-asserted-by":"crossref","first-page":"E10","DOI":"10.1055\/s-0043-118441","article-title":"Exacerbation and Crisis","volume":"02","author":"Schroeter","year":"2018","journal-title":"Neurol Int Open"},{"key":"2026090500500982000_19.9.e265182.2","doi-asserted-by":"publisher","DOI":"10.1177\/1941875210382918"},{"key":"2026090500500982000_19.9.e265182.3","doi-asserted-by":"crossref","unstructured":"Yoon JR , Kim YH , Lee JS . 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