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British Journal of Anaesthesia, 1986, Vol. 58, No. 10 1191-1193
© 1986 The Board of Management and Trustees of the British Journal of Anaesthesia

case-report

D-PENICILLAMINE INDUCED MYASTHENIA GRAVIS

Its Relevance for the Anaesthetist

M. J. FRIED, B.SC., M.B. B.S. and D. T. PROTHEROE, M.A., F.F.A.R.C.S.

Department of Anaesthesia, Royal United Hospital Combe Park, Bath, Avon

Correspondence to M.J.F.

The case of a 57-year-old woman with rheumatoid arthritis is presented to illustrate the rare occurrence of a myasthenic syndrome induced by D-penicillamine, which led to prolonged (5.25-h) postoperative apnoea necessitating artifical ventilation.


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