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Acute Respiratory Insufficiency Revealing Myasthenia gravis: A Propos of 3 Cases Arch Pediatr 4:845-848, Vodoff,M.V., 1997 See this aricle in Pubmed Article Abstract Any unexplained acute respiratory distress must lead to search for skeletal and bulbar muscle weakness, specially after muscular exercise or at the end of day, manifestations which characterize myasthenia gravis..

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