Lady With the Blue Hair: An Atypical Cause of Myasthenic Crisis.

Autor:	Gomez Rosado JO; Osteopathic Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA., Perez T; Osteopathic Medicine, Edward Via College of Osteopathic Medicine, Broward Health Medical Center, Fort Lauderdale, USA., Fusco KN; Osteopathic Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA., Ahmed F; Family Medicine, Broward Health Medical Center, Fort Lauderdale, USA., Nelson TL; Family Medicine, Broward Health Medical Center, Fort Lauderdale, USA., Smith TA; Family Medicine, Broward Health Medical Center, Fort Lauderdale, USA., Ma H; Family Medicine, Broward Health Medical Center, Fort Lauderdale, USA., Barber T; Family Medicine, Broward Health Medical Center, Fort Lauderdale, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 May 13; Vol. 16 (5), pp. e60186. Date of Electronic Publication: 2024 May 13 (Print Publication: 2024).
DOI:	10.7759/cureus.60186
Abstrakt:	A myasthenic crisis denotes a severe exacerbation of myasthenia gravis, leading a patient to enter a life-threatening state due to progressing muscle weakness that ultimately results in respiratory failure. A crisis can require intubation, mechanical ventilation, and additional critical care to prevent further decompensation and potentially death. Numerous well-documented precipitating factors exist, such as infections, surgery, stress, and various medications. We present the case of a 43-year-old woman recently diagnosed with myasthenia gravis who has experienced two myasthenic crises since diagnosis without evident triggers such as surgery, changes in medication, or infection. Following an unremarkable initial diagnostic test and continued treatment for the crisis, we sought additional information from the patient's family member at the bedside. We were informed that two weeks prior to both times of crisis with intubation, the patient had dyed her hair blue. The common chemical component in the two different hair dyes used was methylisothiazolinone, which is suspected to have contributed to the exacerbation of the patient's myasthenia gravis. As more evidence for new precipitating factors of myasthenic crises develops, it is crucial for physicians to quickly identify signs and symptoms of a crisis so appropriate intervention can occur in a time-sensitive manner. In addition, myasthenia gravis patients should be made aware to be cautious of precipitating factors of a crisis, including but not limited to new beauty products. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Gomez Rosado et al.)
Databáze:	MEDLINE
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