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Table 23-3

EtiologyOnset (yr)GenderThymusCourse
Neonatal myastheniaPassage of antibodies from myasthenic mother across the placentaNeonatalBoth gendersNormalTransient
Congenital myastheniaCongenital end plate pathology; genetic autosomal recessive pattern of inheritance0–2Male > femaleNormalNonfluctuating; compatible with long survival
Juvenile myastheniaAutoimmune disorder2–20Female > male (4:1)HyperplasiaSlowly progressive; tendency to relapse and remission
Adult myastheniaAutoimmune disorder20–40Female > maleHyperplasiaMaximum severity within 3–5 years
Elderly myastheniaAutoimmune disorder>40Male > femaleThymoma (benign or locally invasive)Rapid progress; higher mortality rate