01712nam a2200325 4500 ESSALUD 20260821145452.0 ta t pe ||||| |||| 00| 0 spa d BMG eng Ankomah, Pierre O. Autor 54277 Case 24-2026: A 74-year-old man with dyspnea, proximal muscle weakness, and hypoxemia páginas: 804-815 The patient had been in his usual state of health, with hypertension and dyslipidemia, until 7 months before the current presentation, when intermittent binocular diplopia developed. Evaluation by an ophthalmologist affiliated with this hospital revealed ptosis in the right eye and fluctuating strabismus that was not associated with a cranial nerve abnormality. Testing for acetylcholine receptor antibodies was positive, and computed tomography (CT) of the chest showed a normal thymus. Treatment with pyridostigmine was started for presumed ocular myasthenia gravis, and the patient was referred to the neurology clinic affiliated with this hospital. ALERGIA 7055 INMUNOLOGÍA GENERAL 53664 ENCEFALITIS 13464 OTORRINOLARINGOLOGÍA 53837 OFTALMOLOGÍA 32364 INFECCIONES VIRALES 53766 NEUROLOGÍA MENINGITIS 11171 Czawlytko, Cynthia L. 54278 El Khoury, Joseph B. 54279 Andrianus, Stefen 54280 Donnelly-Morell, M. Lauren 54281 22717 22650 Massachusetts NEJM Group NEJM12 The New England Journal of Medicine ESSALUD 0028-4793 ARTICULOS 2026-08-21 sqb 22857 22857