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• W2067350327 abstract "Abstract Objectives To determine the prevalence of myasthenia gravis ( MG ) and the rate of concurrent autoimmune diseases in patients with MG . Design and setting Using the Swedish health and population registers, during the period 2005–2010, we conducted a nested case–control study of patients with MG ( n = 2045) with five age‐ and sex‐matched population‐based controls per case. Register‐based MG diagnosis was validated against the Stockholm MG Cohort. Similar nested case–control studies were conducted in patients with multiple sclerosis ( MS ), as a neuroinflammatory disease control, and siblings of patients with MG . Main outcome measure Odds ratios ( OR s) and their 95% confidence intervals ( CI s) were calculated as a measure of the association between MG and other autoimmune diseases. Results The prevalence of MG was 24.8/100 000, and patients with MG had an increased risk of another autoimmune disease compared to controls (22.0% vs. 8.9%; OR : 2.82, 95% CI : 2.49–3.20); this risk was stronger amongst younger persons and women. Polymyositis/dermatomyositis, systemic lupus erythematosus and Addison's disease, three conditions regulated by the HLA ‐B8‐ DR 3 haplotype, were most strongly associated with MG , especially early‐onset disease. HLA typing in the Stockholm MG Cohort showed that early‐onset MG was indeed dominated by HLA ‐B8‐ DR 3. The risk of another autoimmune disease was increased in both patients with MS and siblings of patients with MG , compared to their respective controls, but to a lesser extent than in patients with MG . Conclusions Our results suggest that MG shares risk factors with other autoimmune diseases, to a greater degree than MS , with a particular role of the HLA ‐B8‐ DR 3 haplotype, especially amongst younger and female patients." @default.
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• W2067350327 date "2014-11-13" @default.
• W2067350327 modified "2023-10-09" @default.
• W2067350327 title "The autoimmune spectrum of myasthenia gravis: a Swedish population-based study" @default.
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• W2067350327 doi "https://doi.org/10.1111/joim.12310" @default.
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