{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T04:13:30Z","timestamp":1730261610546,"version":"3.28.0"},"reference-count":18,"publisher":"Grigore T. Popa University of Medicine and Pharmacy","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Clin Cases"],"abstract":"<jats:p>Multiple autoimmune syndrome (MAS) is characterized by the coexistence of three or more autoimmune diseases. We are reporting a unique case of MAS, presented as a Myasthenia Gravis exacerbation, found to have unexpected sero-abnormalities. A 39-year-old female presented with complaints of progressive difficulty swallowing of solids and liquids, droopy eyelids, and facial weakness. Physical examination revealed bilateral ptosis and proptosis, slow-muffled speech, loss of EOM, inability to smile, puff cheeks, clench teeth, or protrude tongue and an asymmetrical shoulder shrug. Motor tone was normal except \u2158 in the left arm and \u2157 in left hand with loss of flexion at left DIP joints. Acetylcholine receptor binding antibodies, ANA, Antithyroid peroxidase, antithyroglobulin and Anti SS-A were positive. MAS, while not a life-threatening condition, greatly degrades patients\u2019 quality of life. We recommend that when you encounter patients with one or more autoimmune disorder, you consider MAS in your differential.<\/jats:p>","DOI":"10.22551\/2024.44.1103.10293","type":"journal-article","created":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T09:13:04Z","timestamp":1730193184000},"page":"83-85","source":"Crossref","is-referenced-by-count":0,"title":["Unveiling the uncommon: a captivating case of multiple autoimmune syndrome"],"prefix":"10.22551","volume":"11","author":[{"name":"Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ, USA","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karan J.","family":"Yagnik","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Payal","family":"Chhabria","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ, USA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hardikkumar","family":"Bhanderi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ, USA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"9837","published-online":{"date-parts":[[2024,9,15]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"\"1. 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