Publications by authors named "N K Minami"

International consensus guidance and Japanese clinical guidelines for myasthenia gravis (MG) recommend achieving minimal manifestations or better status (MM-or-better) as the severity component of the treatment goal. However, the subjective nature of determining MM can result in ambiguity regarding this category in clinical practice and clinical trials. This study analyzed severity metrics in a large number of MG patients to propose criteria for MM-or-better.

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Background: Sarcoglycanopathies (SGPs) are limb-girdle muscular dystrophies (LGMDs) that can be classified into four types, LGMDR3, LGMDR4, LGMDR5, and LGMDR6, caused by mutations in the genes, SGCA, SGCB, SGCG, and SGCD, respectively. SGPs are relatively rare in Japan. This study aims to profile the genetic variants that cause SGPs in Japanese patients.

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Macrophage activation syndrome (MAS) involves an excessive amount of acute inflammatory responses to inflammatory cytokines, particularly interleukin-6 (IL-6). IL-6 is also strongly associated with the pathophysiology of certain neuroimmunological diseases. However, there have so far been few reports of MAS being accompanied by neuroimmunological diseases.

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Article Synopsis
  • The study aimed to evaluate the safety of statins in patients with myasthenia gravis (MG), particularly focusing on muscle-related symptoms and potential worsening of myasthenic symptoms.
  • Among 1710 MG patients reviewed, only 2% experienced statin intolerance, and 1.5% showed myasthenic worsening, with common issues like ptosis.
  • The findings suggest that while statin-associated myasthenic worsening is rare and generally mild, symptoms improve quickly after stopping the medication, indicating statins can be safely used in MG patients with some caution.
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