{"id":199,"date":"2022-10-22T18:55:26","date_gmt":"2022-10-22T18:55:26","guid":{"rendered":"https:\/\/centrodemiastenia.com\/medicos\/?page_id=199"},"modified":"2022-11-16T19:21:01","modified_gmt":"2022-11-16T19:21:01","slug":"presentacion-clinica","status":"publish","type":"page","link":"https:\/\/centrodemiastenia.com\/medicos\/presentacion-clinica\/","title":{"rendered":"Presentaci\u00f3n cl\u00ednica"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"199\" class=\"elementor elementor-199\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4e188c3f elementor-section-height-min-height elementor-hidden-desktop elementor-hidden-tablet elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"4e188c3f\" data-element_type=\"section\" id=\"miastenia\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-65cb6d57\" data-id=\"65cb6d57\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5cefee6e elementor-widget elementor-widget-image\" data-id=\"5cefee6e\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.1 - 13-11-2022 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1770\" height=\"314\" src=\"https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666.png\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666.png 1770w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666-300x53.png 300w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666-1024x182.png 1024w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666-768x136.png 768w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666-1536x272.png 1536w\" sizes=\"(max-width: 1770px) 100vw, 1770px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-791e1378 elementor-section-height-min-height elementor-section-items-bottom elementor-hidden-mobile elementor-section-boxed elementor-section-height-default\" data-id=\"791e1378\" data-element_type=\"section\" id=\"miastenia\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ca2004e\" data-id=\"ca2004e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4a3507f2 elementor-widget elementor-widget-image\" data-id=\"4a3507f2\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1770\" height=\"314\" src=\"https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666.png\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666.png 1770w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666-300x53.png 300w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666-1024x182.png 1024w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666-768x136.png 768w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666-1536x272.png 1536w\" sizes=\"(max-width: 1770px) 100vw, 1770px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6b0b4e2b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6b0b4e2b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5e896e97\" data-id=\"5e896e97\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-59b5f450 elementor-widget elementor-widget-heading\" data-id=\"59b5f450\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.1 - 13-11-2022 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">PRESENTACI\u00d3N CL\u00cdNICA<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-1e3b7a73 elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1e3b7a73\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-7fe273e9\" data-id=\"7fe273e9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-763b60bc elementor-widget elementor-widget-text-editor\" data-id=\"763b60bc\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.1 - 13-11-2022 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#818a91;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#818a91;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t\u2022 <b>Debilidad de m\u00fasculos extraoculares<\/b>: La diplop\u00eda y\/o la ptosis palpebral son los s\u00edntomas de presentaci\u00f3n en cerca del 85% de los pacientes.<sup>1,4<\/sup> Los s\u00edntomas suelen progresar y se agrega debilidad bulbar, axial o de las extremidades en el 50% de los pacientes hacia los 2 a\u00f1os.<sup>2<\/sup>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-5452db51\" data-id=\"5452db51\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6e42dd87 elementor-widget elementor-widget-image\" data-id=\"6e42dd87\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"386\" height=\"169\" src=\"https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Ilus_Ptosis-1.png\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Ilus_Ptosis-1.png 386w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Ilus_Ptosis-1-300x131.png 300w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-2d3e8d7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2d3e8d7\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-1587489\" data-id=\"1587489\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fee8602 elementor-widget elementor-widget-image\" data-id=\"fee8602\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"384\" height=\"384\" src=\"https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Ilus_cabeza-caida.png\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Ilus_cabeza-caida.png 384w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Ilus_cabeza-caida-300x300.png 300w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Ilus_cabeza-caida-150x150.png 150w\" sizes=\"(max-width: 384px) 100vw, 384px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-a3a75c8\" data-id=\"a3a75c8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fe487ce elementor-widget elementor-widget-text-editor\" data-id=\"fe487ce\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\u2022 <b>Debilidad de m\u00fasculos de las extremidades:<\/b> Afecta m\u00e1s los m\u00fasculos proximales que los distales, y m\u00e1s la cintura escapular que los miembros inferiores. Se traduce en dificultad para sostener los brazos por encima de la cabeza, en la marcha o al subir escaleras.<sup>1,4<\/sup>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-4b28c09 elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4b28c09\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-eb9ed92\" data-id=\"eb9ed92\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-534dd4f elementor-widget elementor-widget-text-editor\" data-id=\"534dd4f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\u2022 <b>Compromiso de musculatura bulbar<\/b>: Puede ser la presentaci\u00f3n inicial en ~15% de los casos. Se manifiesta como disartria, disfagia, voz ronca, asfixia frecuente al comer (tos al tragar). La debilidad de los m\u00fasculos del cuello causa s\u00edndrome de cabeza ca\u00edda (dropped head).<sup>1,4<\/sup>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-bc67f6d\" data-id=\"bc67f6d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c693606 elementor-widget elementor-widget-image\" data-id=\"c693606\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"387\" height=\"387\" src=\"https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1.png\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1.png 387w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-300x300.png 300w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-150x150.png 150w\" sizes=\"(max-width: 387px) 100vw, 387px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-87139e6 elementor-widget elementor-widget-text-editor\" data-id=\"87139e6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\u2022 <b>Crisis miast\u00e9nicas:<\/b> Se deben a compromiso de los m\u00fasculos intercostales y el diafragma. Constituyen una emergencia m\u00e9dica.<sup>4<\/sup>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6a2401cd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6a2401cd\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-206655f1\" data-id=\"206655f1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-3074284 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3074284\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-6606d551\" data-id=\"6606d551\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7ba98bd0 elementor-widget elementor-widget-image\" data-id=\"7ba98bd0\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"137\" height=\"128\" src=\"https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Icon_Factores_agravan.svg\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-770ed99\" data-id=\"770ed99\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8602ed2 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"8602ed2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tFactores que precipitan o agravan la debilidad <sup>1,4<\/sup>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-8f79f6f\" data-id=\"8f79f6f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1634471 elementor-widget elementor-widget-text-editor\" data-id=\"1634471\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u2022 Ejercicio<br \/>\u2022 Estr\u00e9s emocional<br \/>\u2022 Calor<br \/>\u2022 Infecciones<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-6d349d1\" data-id=\"6d349d1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d490589 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"d490589\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u2022 Cirug\u00eda<br \/>\u2022 F\u00e1rmacos que afectan la transmisi\u00f3n neuromuscular (Ver m\u00e1s adelante)<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-6c94484 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6c94484\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-dbbfa8e\" data-id=\"dbbfa8e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2830e33 elementor-widget elementor-widget-image\" data-id=\"2830e33\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"130\" height=\"143\" src=\"https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Icon_mejora.svg\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-91ba70c\" data-id=\"91ba70c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-26f0dd3 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"26f0dd3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Factores que mejoran la debilidad<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-f96fa89\" data-id=\"f96fa89\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-653df77 elementor-widget elementor-widget-text-editor\" data-id=\"653df77\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u2022 Reposo<br \/>\u2022 Aplicaci\u00f3n local de fr\u00edo (hielo)<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-d8a3aa8\" data-id=\"d8a3aa8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1d7c614 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"1d7c614\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u2022 F\u00e1rmacos anti colinester\u00e1sicos<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-f6db824 elementor-widget elementor-widget-spacer\" data-id=\"f6db824\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.1 - 13-11-2022 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));-ms-flex-item-align:stretch;align-self:stretch;-ms-flex-negative:0;flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-27b6d5d1 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"27b6d5d1\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.1 - 13-11-2022 *\/\n.elementor-widget-divider{--divider-border-style:none;--divider-border-width:1px;--divider-color:#2c2c2c;--divider-icon-size:20px;--divider-element-spacing:10px;--divider-pattern-height:24px;--divider-pattern-size:20px;--divider-pattern-url:none;--divider-pattern-repeat:repeat-x}.elementor-widget-divider .elementor-divider{display:-webkit-box;display:-ms-flexbox;display:flex}.elementor-widget-divider .elementor-divider__text{font-size:15px;line-height:1;max-width:95%}.elementor-widget-divider .elementor-divider__element{margin:0 var(--divider-element-spacing);-ms-flex-negative:0;flex-shrink:0}.elementor-widget-divider .elementor-icon{font-size:var(--divider-icon-size)}.elementor-widget-divider .elementor-divider-separator{display:-webkit-box;display:-ms-flexbox;display:flex;margin:0;direction:ltr}.elementor-widget-divider--view-line_icon .elementor-divider-separator,.elementor-widget-divider--view-line_text .elementor-divider-separator{-webkit-box-align:center;-ms-flex-align:center;align-items:center}.elementor-widget-divider--view-line_icon .elementor-divider-separator:after,.elementor-widget-divider--view-line_icon .elementor-divider-separator:before,.elementor-widget-divider--view-line_text .elementor-divider-separator:after,.elementor-widget-divider--view-line_text .elementor-divider-separator:before{display:block;content:\"\";border-bottom:0;-webkit-box-flex:1;-ms-flex-positive:1;flex-grow:1;border-top:var(--divider-border-width) var(--divider-border-style) var(--divider-color)}.elementor-widget-divider--element-align-left .elementor-divider .elementor-divider-separator>.elementor-divider__svg:first-of-type{-webkit-box-flex:0;-ms-flex-positive:0;flex-grow:0;-ms-flex-negative:100;flex-shrink:100}.elementor-widget-divider--element-align-left .elementor-divider-separator:before{content:none}.elementor-widget-divider--element-align-left .elementor-divider__element{margin-left:0}.elementor-widget-divider--element-align-right .elementor-divider .elementor-divider-separator>.elementor-divider__svg:last-of-type{-webkit-box-flex:0;-ms-flex-positive:0;flex-grow:0;-ms-flex-negative:100;flex-shrink:100}.elementor-widget-divider--element-align-right .elementor-divider-separator:after{content:none}.elementor-widget-divider--element-align-right .elementor-divider__element{margin-right:0}.elementor-widget-divider:not(.elementor-widget-divider--view-line_text):not(.elementor-widget-divider--view-line_icon) .elementor-divider-separator{border-top:var(--divider-border-width) var(--divider-border-style) var(--divider-color)}.elementor-widget-divider--separator-type-pattern{--divider-border-style:none}.elementor-widget-divider--separator-type-pattern.elementor-widget-divider--view-line .elementor-divider-separator,.elementor-widget-divider--separator-type-pattern:not(.elementor-widget-divider--view-line) .elementor-divider-separator:after,.elementor-widget-divider--separator-type-pattern:not(.elementor-widget-divider--view-line) .elementor-divider-separator:before,.elementor-widget-divider--separator-type-pattern:not([class*=elementor-widget-divider--view]) .elementor-divider-separator{width:100%;min-height:var(--divider-pattern-height);-webkit-mask-size:var(--divider-pattern-size) 100%;mask-size:var(--divider-pattern-size) 100%;-webkit-mask-repeat:var(--divider-pattern-repeat);mask-repeat:var(--divider-pattern-repeat);background-color:var(--divider-color);-webkit-mask-image:var(--divider-pattern-url);mask-image:var(--divider-pattern-url)}.elementor-widget-divider--no-spacing{--divider-pattern-size:auto}.elementor-widget-divider--bg-round{--divider-pattern-repeat:round}.rtl .elementor-widget-divider .elementor-divider__text{direction:rtl}.e-con-inner>.elementor-widget-divider,.e-con>.elementor-widget-divider{width:var(--container-widget-width,100%)}<\/style>\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2f7c6823 elementor-widget elementor-widget-text-editor\" data-id=\"2f7c6823\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong>Referencias: 1<\/strong>. . Pascuzzi R, Bodkin CL. Chapter 53. Disorders of the neuromuscular junction. En: Jos\u00e9 Biller. Practical Neurology Fifth edition. Philadelphia: Wolters Kluwer; 2017. p. 685-696. 2. Hoch W, McConville J, Helms S, et al. Auto-antibodies to the receptor tyrosine kinase MuSK in patients with myasthenia gravis without acetylcholine receptor antibodies. Nature Medicine 2001;7(3):365-8. 3. Bubuiok AM, Kudebayeva A, Turuspekova S, et al. The epidemiology of myasthenia gravis. J Med Life 2021;14:7-16. 4. Beloor Suresh A, Asuncion RMD. Myasthenia Gravis. [Actualizado en agosto de 2021]. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. En:<br \/><a href=\"https:\/\/www.statpearls.com\/ArticleLibrary\/viewarticle\/25411\" target=\"blank_\"><span style=\"color: #5b82f0;\">https:\/\/www.statpearls.com\/ArticleLibrary\/viewarticle\/25411<\/span><\/a><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>PRESENTACI\u00d3N CL\u00cdNICA \u2022 Debilidad de m\u00fasculos extraoculares: La diplop\u00eda y\/o la ptosis palpebral son los s\u00edntomas de presentaci\u00f3n en cerca del 85% de los pacientes.1,4 Los s\u00edntomas suelen progresar y se agrega debilidad bulbar, axial o de las extremidades en el 50% de los pacientes hacia los 2 a\u00f1os.2 \u2022 Debilidad de m\u00fasculos de las [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false},"_links":{"self":[{"href":"https:\/\/centrodemiastenia.com\/medicos\/wp-json\/wp\/v2\/pages\/199"}],"collection":[{"href":"https:\/\/centrodemiastenia.com\/medicos\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/centrodemiastenia.com\/medicos\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/centrodemiastenia.com\/medicos\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/centrodemiastenia.com\/medicos\/wp-json\/wp\/v2\/comments?post=199"}],"version-history":[{"count":31,"href":"https:\/\/centrodemiastenia.com\/medicos\/wp-json\/wp\/v2\/pages\/199\/revisions"}],"predecessor-version":[{"id":979,"href":"https:\/\/centrodemiastenia.com\/medicos\/wp-json\/wp\/v2\/pages\/199\/revisions\/979"}],"wp:attachment":[{"href":"https:\/\/centrodemiastenia.com\/medicos\/wp-json\/wp\/v2\/media?parent=199"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}