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Curr Opin Neurol ;25 5: No one knows exactly what causes the body to begin producing the antibodies that destroy acetylcholine receptors. Muscle fiber Congenital Myasthenia Gravis Congenital MG is an hereditary disorder resulting in deficiency of Ach receptors on the postsynaptic membrane. Emergency Department Care Patients with myasthenia gravis who are in respiratory distress may be experiencing a myasthenic crisis or a cholinergic crisis. References Kliegman RM, et al.

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