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Congenital Myasthenic Syndromes in Adult Neurology Clinic
Neurol 91:e1770-e1777, Kao, J.C.,et al, 2018
See this aricle in Pubmed

Article Abstract
Misdiagnosis occurred in 94% of the adult patients with CMS and causes a median diagnostic delay of nearly 3 decades from symptom onset. Seronegative myasthenia gravis and muscle diseases were the 2 most common misdiagnoses, which led to the treatment delay and unnecessary exposure to immunotherapy, thymectomy, or muscle biopsy.
 
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delay in diagnosis
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