Article: An elusive weakness: myasthenia gravis.

Marilyn, a 65-year-old retired surgical nurse, is admitted with respiratory distress and to rule out congestive heart failure (CHF). She has scoliosis and reports that her endurance had decreased significantly since her trip to Arizona this past summer. "Since then, I get winded with even the least amount of exertion."

Karen, a 28-year-old bank manager, is admitted with pneumonia. She tells you that she thinks she's "going crazy" because she can't fix her hair the way she likes it any more and the back of her neck hurts by the end of the day.

Joseph, a 28-year-old high school mathematics teacher, is seen in the clinic with fatigue. He tells you that by ...

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