PMID- 15732104 OWN - NLM STAT- MEDLINE DCOM- 20050425 LR - 20091119 IS - 0364-5134 (Print) IS - 0364-5134 (Linking) VI - 57 IP - 3 DP - 2005 Mar TI - Fewer thymic changes in MuSK antibody-positive than in MuSK antibody-negative MG. PG - 444-8 AB - In generalized myasthenia gravis (MG) patients without detectable acetylcholine receptor (AChR) antibodies (SNMG), the thymus is often reported as "normally involuted." We analyzed thymic compartments in 67 patients with generalized MG, with AChR antibodies (AChR+, n = 23), with muscle-specific kinase (MuSK) antibodies (MuSK+, n = 14) or with neither (MuSK-, n = 30), and in 11 non-MG controls. Four of 14 MuSK+ thymi had rare small germinal centers, but overall they were not different from age-matched controls. However, approximately 75% MuSK- samples showed lymph node-type infiltrates similar to those in AChR+ patients, but with fewer germinal centers. These variations may explain some apparent differences in responses to thymectomy in SNMG. FAU - Leite, Maria Isabel AU - Leite MI AD - Neurosciences Group, Department of Clinical Neurology, University of Oxford, Oxford OX3 9DU, United Kingdom. FAU - Strobel, Philipp AU - Strobel P FAU - Jones, Margaret AU - Jones M FAU - Micklem, Kingsley AU - Micklem K FAU - Moritz, Regina AU - Moritz R FAU - Gold, Ralf AU - Gold R FAU - Niks, Erik H AU - Niks EH FAU - Berrih-Aknin, Sonia AU - Berrih-Aknin S FAU - Scaravilli, Francesco AU - Scaravilli F FAU - Canelhas, Aurea AU - Canelhas A FAU - Marx, Alexander AU - Marx A FAU - Newsom-Davis, John AU - Newsom-Davis J FAU - Willcox, Nick AU - Willcox N FAU - Vincent, Angela AU - Vincent A LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Ann Neurol JT - Annals of neurology JID - 7707449 RN - 0 (Antibodies) RN - 0 (Antigens, CD20) RN - 0 (Receptors, Cholinergic) RN - 0 (Receptors, Complement 3b) RN - EC 2.7.10.1 (MUSK protein, human) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) SB - IM MH - Adolescent MH - Adult MH - Antibodies/*metabolism MH - Antigens, CD20/metabolism MH - Case-Control Studies MH - Child MH - Female MH - Humans MH - Immunohistochemistry/methods MH - Male MH - Middle Aged MH - Myasthenia Gravis/*immunology/pathology MH - Receptor Protein-Tyrosine Kinases/*immunology MH - Receptors, Cholinergic/*immunology MH - Receptors, Complement 3b/metabolism MH - Thymus Gland/metabolism/*pathology EDAT- 2005/02/26 09:00 MHDA- 2005/04/26 09:00 CRDT- 2005/02/26 09:00 PHST- 2005/02/26 09:00 [pubmed] PHST- 2005/04/26 09:00 [medline] PHST- 2005/02/26 09:00 [entrez] AID - 10.1002/ana.20386 [doi] PST - ppublish SO - Ann Neurol. 2005 Mar;57(3):444-8. doi: 10.1002/ana.20386.