PMID- 27132121 OWN - NLM STAT- MEDLINE DCOM- 20180123 LR - 20220310 IS - 1873-2364 (Electronic) IS - 0960-8966 (Linking) VI - 26 IP - 6 DP - 2016 Jun TI - Elderly-onset familial myasthenia gravis in two siblings. PG - 347-9 LID - S0960-8966(15)30158-9 [pii] LID - 10.1016/j.nmd.2016.03.005 [doi] AB - Myasthenia gravis (MG) occasionally occurs in a family, but elderly-onset (>/=65 years) familial MG has been rarely reported. We here report the case of two siblings with elderly-onset MG (mean onset age: 72.5 years) and present the human leukocyte antigen (HLA) profiles (HLA-A, -B, -DR) of their family. Both patients developed generalized MG with elevated serum acetylcholine receptor antibody titers at their seventies. Of six siblings, the two patients and one unaffected sibling shared the same HLA haplotypes. Our study indicates that elderly-onset MG can occur in a family and that familial occurrence of MG may be related to certain HLA alleles. CI - Copyright (c) 2016 Elsevier B.V. All rights reserved. FAU - Hirunagi, Tomoki AU - Hirunagi T AD - Department of Neurology, Nagoya Daiichi Red Cross Hospital, Aichi, Japan. Electronic address: t-hirunagi@nagoya-1st.jrc.or.jp. FAU - Tsujikawa, Koyo AU - Tsujikawa K AD - Department of Neurology, Nagoya University Graduate School of Medicine, Aichi, Japan. FAU - Hasegawa, Yasuhiro AU - Hasegawa Y AD - Department of Neurology, Nagoya Daini Red Cross Hospital, Aichi, Japan. FAU - Mano, Kazuo AU - Mano K AD - Department of Neurology, Nagoya Daiichi Red Cross Hospital, Aichi, Japan. FAU - Katsuno, Masahisa AU - Katsuno M AD - Department of Neurology, Nagoya University Graduate School of Medicine, Aichi, Japan. LA - eng PT - Case Reports PT - Journal Article DEP - 20160330 PL - England TA - Neuromuscul Disord JT - Neuromuscular disorders : NMD JID - 9111470 RN - 0 (HLA Antigens) RN - 0 (Receptors, Cholinergic) SB - IM MH - Age of Onset MH - Aged MH - Female MH - HLA Antigens/blood MH - Humans MH - Male MH - Myasthenia Gravis/blood/*immunology MH - Receptors, Cholinergic/*immunology MH - *Siblings OTO - NOTNLM OT - Elderly-onset OT - Familial clustering OT - Familial myasthenia gravis OT - Human leukocyte antigen EDAT- 2016/05/02 06:00 MHDA- 2018/01/24 06:00 CRDT- 2016/05/02 06:00 PHST- 2015/12/14 00:00 [received] PHST- 2016/03/18 00:00 [revised] PHST- 2016/03/28 00:00 [accepted] PHST- 2016/05/02 06:00 [entrez] PHST- 2016/05/02 06:00 [pubmed] PHST- 2018/01/24 06:00 [medline] AID - S0960-8966(15)30158-9 [pii] AID - 10.1016/j.nmd.2016.03.005 [doi] PST - ppublish SO - Neuromuscul Disord. 2016 Jun;26(6):347-9. doi: 10.1016/j.nmd.2016.03.005. Epub 2016 Mar 30.