{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,25]],"date-time":"2025-12-25T19:24:01Z","timestamp":1766690641559,"version":"3.40.5"},"reference-count":0,"publisher":"National Library of Serbia","issue":"7","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["VSP","VOJNOSANIT PREGL","VOJNOSANITETSKI PREG"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p>Introduction. Childhood onset myasthenia gravis associated with\n   anti-muscle-specific tyrosine kinase antibodies is very rare and atypical in\n   presentation. Case report. As a baby, the pre-sented patient was choking and\n   sleeping with open eyes. She had weak cry and breathing difficulties. In\n   childhood, there were frequent falls and fluctuating swallowing difficulties.\n   At the age of 19 she was misdiagnosed with Miller Fisher syndrome due to the\n   presence of diplopia, ataxia and hyporeflexia with spontaneous recovery.\n   Repetitive nerve stimulation test was normal. Four years later, after several\n   relapses, there was significant decrement on facial muscles. Neostigmine test\n   was negative, provoking muscle fasciculations. Serum anti-muscle-specific\n   tyrosine kinase antibodies were positive. With cyclosporine therapy she\n   achieved the minimal manifestations status. Conclusion. The presented case\n   confirms that childhood onset myasthenia gravis associated with\n   anti-muscle-specific tyrosine kinase antibodies is often with atypical\n   presentation and spontaneous remissions, so it could be easily misdiagnosed.<\/jats:p>","DOI":"10.2298\/vsp131111039n","type":"journal-article","created":{"date-parts":[[2015,6,12]],"date-time":"2015-06-12T14:43:45Z","timestamp":1434120225000},"page":"639-641","source":"Crossref","is-referenced-by-count":4,"title":["A misdiagnosed myasthenia gravis with anti-muscle-specific tyrosine kinase antibodies with possible childhood onset"],"prefix":"10.2298","volume":"72","author":[{"suffix":"V.","given":"Ana","family":"Nikolic","sequence":"first","affiliation":[{"name":"Clinical Center of Serbia, Neurology Clinic, Belgrade + Faculty of Medicine, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"V.","given":"Dragana","family":"Lavrnic","sequence":"additional","affiliation":[{"name":"Clinical Center of Serbia, Neurology Clinic, Belgrade + Faculty of Medicine, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Z.","given":"Ivana","family":"Basta","sequence":"additional","affiliation":[{"name":"Clinical Center of Serbia, Neurology Clinic, Belgrade + Faculty of Medicine, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4976-3116","authenticated-orcid":false,"suffix":"M.","given":"Dimitrije","family":"Nikolic","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Belgrade + University Children\u2019s Hospital, Neurology Department, Belgrad"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"A.","given":"Slobodan","family":"Apostolski","sequence":"additional","affiliation":[{"name":"Private Neurological Practice \u201cApostolski\u201d, Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1078","container-title":["Vojnosanitetski pregled","Military Medical and Pharmaceutical Journal of Serbia"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T11:15:11Z","timestamp":1685358911000},"score":1,"resource":{"primary":{"URL":"https:\/\/doiserbia.nb.rs\/Article.aspx?ID=0042-84501500039N"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":0,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2015]]}},"URL":"https:\/\/doi.org\/10.2298\/vsp131111039n","relation":{},"ISSN":["0042-8450","2406-0720"],"issn-type":[{"type":"print","value":"0042-8450"},{"type":"electronic","value":"2406-0720"}],"subject":[],"published":{"date-parts":[[2015]]}}}