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Symptoms of congenital myasthenia usually appear in the first few years of childhood, but may not be noticeable until much later, occasionally remaining unrecognized until adulthood.

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MG affects the striated voluntary skeletal muscles of a dog.

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Drugs that have been used for this purpose are Metoclopramide (Reglan), Propulsid (Cisapride) and Urecholine (Bethanechol).

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Effect of local heat versus ice on blepharoptosis resulting from ocular myasthenia.

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In patients treated with anticholinesterase agents, myasthenic crisis must be differentiated from cholinergic crisis related to overmedication.

Movaghar and Slavin questioned the validity of such a test by demonstrating that patients with ocular MG actually improve on the ice, heat, and modified sleep tests.

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However, antibodies may not be detected in patients with only ocular forms of the disease.

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