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Female | 54

Managing Myasthenia Gravis and Rituximab Treatment Options

Hi in October 2022 my cpk was 2000 plus and crp was 12. Diagnosed with IIM. My leg muscles were affected that time. Early ild effects in chest ct scan. Started taking prednisone mmf 1500. But in Oct 2023 my voice is also affected can't speak now. Myositis panel of antibodies negative But Achr antibodies positive and ace levels are high. Still cpk is 1800 and hscrp is 17. 86. Diagnosed with myasthenia gravis and taking prednisone mmf and pyridostigmine now. Taken ivig also but still no improvement in voice and weakness. Recently I had severe diarrhea due to high dose of mmf. I want to know will rituximab treatment will be helpful for me. As my doctor is planning for that but now my cd 19 levels also high. Kindly suggest helpful which and what treatment is suitable and advisable.

1 Answer

Answered on 4th Sept '24

It seems you're dealing with health issues like myositis and myasthenia gravis, which weaken muscles affecting your legs and voice. Since previous treatments haven’t helped, your doctor suggests rituximab to reduce inflammation and improve symptoms. Monitoring is important due to high CD19 levels. Be sure to discuss any concerns or side effects with your neurologist.

30 people found this helpful

Questions & Answers on "Neurology" (726)

Answered on 23rd May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

My family are on a trip to god's place and My brother got fits today like 3 times and he is behaving abnormal...what can we do?

Male | 30

Your brother may have had seizures, which are also called fits, and can make people behave strangely. There are many reasons why seizures occur – for instance, epilepsy or a high fever. If you see someone having a seizure, put them down gently on their side so that they don’t get hurt. Don’t try to hold his tongue or put anything in his mouth. Keep calm throughout this period then seek medical attention immediately after it is over. Finding out what caused him to convulse is important as well as getting him treated appropriately. 

Answered on 11th June '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

I wanna try to get scanned for a brain tumour, this thought has gone as far back as grade 8 and I know this is out of proportion insane but I mean at first it started with the moments of feeling like I was getting dumber instead of smarter, not like beating myself up but just the actual feeling of losing information Then it was the foggy memories, messed up timeline, all of which I just kinda blamed on Parasomnia Then it was the derealization, the feeling of my grip on the world was leaving me and I’ve just tried so hard to fight it The change in my thoughts I mean I’ve become borderline obsessive, bi polar at my worst and even just thinking of life differently I mean in grade 9 I even just lost so much sense of fear, I started being way more reckless than before Honestly I wouldn’t be surprised if it was what helped Mono attack my body harder I mean looking at symptoms yeah I only have the less severe ones but even loss of hearing and vision change has kinda set in I’ve heard stories of people who didn’t bother to check man and it just makes me afraid that I’m a ticking time bomb until the time someone sees me faint and not wake up Today in class I got, so, so lightheaded, and I just feel this impending doom sitting on my chest man

Male | 15

I would recommend you to book an appointment with a neurologist to detail your symptoms and worries regarding the potential brain tumor. He can perform extensive evaluation and diagnostic tests to determine the source of your symptoms. It is not advisable to wait until the time runs out and an early diagnosis will help you have a different outcome.

Answered on 23rd May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

But my memory issues will take how much time to resolve after Inter parenchymal bleed it's been already 2 months I haven't forgotten completely but I can't literally recall my past events and remember new events accordingly everything I miss out the dates and times

Male | 23

You are worried about your memory after bleeding within the brain. It is not uncommon for people to have these types of problems with their memories following such events. Some of the symptoms may involve having trouble remembering things that have occurred recently or forgetting appointments altogether; also clock watching could be difficult too. This can affect anyone at any age.

Answered on 29th May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

I always had sleep paralysis during sleep and I can't sleep well

Female | 18

Sleep paralysis is a condition where you wake up but can't move or speak for a short time. It's quite common and usually not harmful. It can happen due to sleep deprivation, an irregular sleep schedule, or stress and anxiety. To prevent it, try to stick to a regular sleep schedule, relax before bed, and manage stress. If it becomes more frequent or concerning, you can consult a sleep specialist for help.

Answered on 1st Oct '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Tingling sensation over body like blood hardly moves, all over body since 2months. Neurobian.. Neurokind forte.. Neurokind d3, tablets taken half cured not completely cured got 1 new, blue patch in leg??

Female | 28

It's essential to consult a neurologist, as these symptoms may be related to underlying neurological or circulatory issues. Additionally, the appearance of a new blue patch on your leg should be evaluated urgently. Further tests and examinations are needed to determine the cause and provide appropriate treatment.

Answered on 23rd May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

My son 21 years old. Struggling with migrains. Have now started to feel pressure in forehead and dizzy. Have just now taken paracetamol 1 gram. Is it ok to take migraine medication he got from doctor last time now already? He is really scared to wake up and get it like last time. It was really bad with vomiting.

Male | 21

Weakness and sensitivity to light, as well as vomiting, may be the result of migraines. He is on paracetamol which is great, but he can also take the migraine medication his doctor prescribed if it is the case, even though it is soon after the paracetamol. It is important that the doctor’s guidance is adhered to and the medication is taken as instructed which will also help to prevent the next similar episode from happening.

Answered on 21st Oct '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

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