PMID- 17266132 OWN - NLM STAT- MEDLINE DCOM- 20070907 LR - 20091119 IS - 0148-639X (Print) IS - 0148-639X (Linking) VI - 36 IP - 2 DP - 2007 Aug TI - Anti-MuSK myasthenia gravis presenting with Epstein-Barr virus-associated mononucleosis and immune-mediated diabetes mellitus. PG - 264-6 AB - We report a young woman with the abrupt onset of infectious mononucleosis due to Epstein-Barr virus associated with a subsequent autoimmune form of diabetes mellitus and myasthenia gravis with anti-muscle-specific kinase (MuSK) antibodies. The simultaneous onset of these two autoimmune diseases preceded by a systemic viral illness supports a causal relationship between MuSK antibodies and myasthenia gravis and suggests the possibility of a viral trigger in some cases. FAU - Bhibhatbhan, Arunee AU - Bhibhatbhan A AD - Department of Clinical Neurosciences, University of Calgary, 3330 Hospital Drive NW, HMRB Room 155, Calgary, Alberta T2N 4N1, Canada. FAU - Kline, Gregory AU - Kline G FAU - Vincent, Angela AU - Vincent A FAU - Toth, Cory AU - Toth C LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Muscle Nerve JT - Muscle & nerve JID - 7803146 RN - 0 (Autoantibodies) RN - 0 (Receptors, Cholinergic) RN - EC 2.7.10.1 (MUSK protein, human) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) SB - IM MH - Adult MH - Autoantibodies/*blood MH - Diabetes Mellitus/*etiology/immunology/virology MH - Female MH - Humans MH - Infectious Mononucleosis/*complications MH - Myasthenia Gravis/*etiology/immunology MH - Receptor Protein-Tyrosine Kinases/*immunology MH - Receptors, Cholinergic/*immunology EDAT- 2007/02/03 09:00 MHDA- 2007/09/08 09:00 CRDT- 2007/02/03 09:00 PHST- 2007/02/03 09:00 [pubmed] PHST- 2007/09/08 09:00 [medline] PHST- 2007/02/03 09:00 [entrez] AID - 10.1002/mus.20746 [doi] PST - ppublish SO - Muscle Nerve. 2007 Aug;36(2):264-6. doi: 10.1002/mus.20746.