<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">r-n-j</journal-id><journal-title-group><journal-title xml:lang="ru">Российский неврологический журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Russian neurological journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2658-7947</issn><issn pub-type="epub">2686-7192</issn><publisher><publisher-name>МИА</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.30629/2658-7947-2023-28-2-5-14</article-id><article-id custom-type="elpub" pub-id-type="custom">r-n-j-408</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОР</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LITERATURE REVIEW</subject></subj-group></article-categories><title-group><article-title>Миастения гравис: особенности эпидемиологии, патогенеза, лечения и взаимосвязь с тимомами</article-title><trans-title-group xml:lang="en"><trans-title>Myastenia gravis: features of epidemiology, pathogenesis, treatment and relation to thymomas</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7616-3899</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гарифуллин</surname><given-names>А. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Garifullin</surname><given-names>A. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гарифуллин Айрат Ильдарович</p><p>Москва</p></bio><bio xml:lang="en"><p>Garifullin Airat I.</p><p>Moscow</p></bio><email xlink:type="simple">sagidullin12@bk.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4763-9691</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Султанова</surname><given-names>Э. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Sultanova</surname><given-names>E. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Уфа</p></bio><bio xml:lang="en"><p>Ufa</p></bio><email xlink:type="simple">sultanovaev@bk.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2760-7454</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Асфандиярова</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Asfandiyarova</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Уфа</p></bio><bio xml:lang="en"><p>Ufa</p></bio><email xlink:type="simple">asfandiyfokin@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8122-4417</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хусаинова</surname><given-names>А. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Khusainova</surname><given-names>A. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Уфа</p></bio><bio xml:lang="en"><p>Ufa</p></bio><email xlink:type="simple">xusainova_aygul@inbox.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0096-8380</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гордеева</surname><given-names>М. Э.</given-names></name><name name-style="western" xml:lang="en"><surname>Gordeeva</surname><given-names>M. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Уфа</p></bio><bio xml:lang="en"><p>Ufa</p></bio><email xlink:type="simple">xusainova_aygul@inbox.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3871-9283</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шакирова</surname><given-names>А. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Shakirova</surname><given-names>A. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Уфа</p></bio><bio xml:lang="en"><p>Ufa</p></bio><email xlink:type="simple">shakirovaarina1@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5369-9789</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Корнеева</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Korneeva</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Уфа</p></bio><bio xml:lang="en"><p>Ufa</p></bio><email xlink:type="simple">Tonya082012@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6509-412X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тукаев</surname><given-names>А. Ф.</given-names></name><name name-style="western" xml:lang="en"><surname>Tukaev</surname><given-names>A. F.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Уфа</p></bio><bio xml:lang="en"><p>Ufa</p></bio><email xlink:type="simple">tukaefartur@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0494-2674</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ефремова</surname><given-names>Д. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Efremova</surname><given-names>D. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Уфа</p></bio><bio xml:lang="en"><p>Ufa</p></bio><email xlink:type="simple">DaryaX.Efremova@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0766-9490</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Синицина</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Sinitsina</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Уфа</p></bio><bio xml:lang="en"><p>Ufa</p></bio><email xlink:type="simple">alinassss@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4963-5114</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Собянина</surname><given-names>Е. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Sobyanina</surname><given-names>E. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Уфа</p></bio><bio xml:lang="en"><p>Ufa</p></bio><email xlink:type="simple">ekaterinasobanina5@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9892-5970</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Усманова</surname><given-names>А. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Usmanova</surname><given-names>A. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Уфа</p></bio><bio xml:lang="en"><p>Ufa</p></bio><email xlink:type="simple">airitta.usmanova@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7127-6325</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ихсанова</surname><given-names>Э. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Ikhsanova</surname><given-names>E. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Уфа</p></bio><bio xml:lang="en"><p>Ufa</p></bio><email xlink:type="simple">elmira.ihsanova2015@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>МНИОИ им. П.А. Герцена — филиал ФГБУ «НМИЦ радиологии»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>P. Hertsen Moscow Oncology Research Institute</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Башкирский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Bashkir State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>18</day><month>05</month><year>2023</year></pub-date><volume>28</volume><issue>2</issue><fpage>5</fpage><lpage>14</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Гарифуллин А.И., Султанова Э.И., Асфандиярова И.В., Хусаинова А.Б., Гордеева М.Э., Шакирова А.Р., Корнеева А.А., Тукаев А.Ф., Ефремова Д.Н., Синицина А.С., Собянина Е.О., Усманова А.Р., Ихсанова Э.И., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Гарифуллин А.И., Султанова Э.И., Асфандиярова И.В., Хусаинова А.Б., Гордеева М.Э., Шакирова А.Р., Корнеева А.А., Тукаев А.Ф., Ефремова Д.Н., Синицина А.С., Собянина Е.О., Усманова А.Р., Ихсанова Э.И.</copyright-holder><copyright-holder xml:lang="en">Garifullin A.I., Sultanova E.I., Asfandiyarova I.V., Khusainova A.B., Gordeeva M.E., Shakirova A.R., Korneeva A.A., Tukaev A.F., Efremova D.N., Sinitsina A.S., Sobyanina E.O., Usmanova A.R., Ikhsanova E.I.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.r-n-j.com/jour/article/view/408">https://www.r-n-j.com/jour/article/view/408</self-uri><abstract><p>Проведена систематизация последних научных данных по патогенезу, генетическим особенностям, методам лечения миастении, а также взаимосвязи между миастенией и другими заболеваниями. Для поиска опубликованных исследований использовались следующие базы данных: Pubmed, Web of Science, EBSCOhost и Scopus. Поиск производился во временном интервале с даты создания соответствующей базы данных до октября 2022 года. Использовались поисковые термины «myasthenia gravis», «myasthenia treatment», «myasthenia epidemiological features», «“myasthenia and thymoma” myasthenia pathogenesis». Обозначены основные исследования, касающиеся эпидемиологии миастении, приведены ключевые клинические формы и их патогенетические характеристики, связь миастении с тимомой, основные методы лечения.</p></abstract><trans-abstract xml:lang="en"><p>Мyasthenia gravis is a common disease, for adequate treatment of which early detection, knowledge of its clinical manifestations and possible methods of therapy is required. This review provides up-to-date information regarding the issues of myasthenia gravis. The aim of the paper: to systematize the latest scientific data on the pathogenesis, genetic characteristics, methods of treatment of myasthenia gravis, as well as to identify the relationship between myasthenia gravis and other diseases. The following databases were used to search for published studies: Pubmed, Web of Science, EBSCOhost and Scopus. The search was carried out in the time period from the date of establishment of the corresponding database until October 2022. Following search terms were used: “myasthenia gravis”, “myasthenia treatment”, “myasthenia epidemiological features”, “myasthenia and thymoma “myasthenia pathogenesis””. Тhe main studies on the epidemiology of myasthenia gravis are indicated, the key clinical forms and their pathogenetic characteristics, the relationship between myasthenia gravis and thymoma, and the main methods of treatment are also given.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>миастения гравис</kwd><kwd>тимома</kwd><kwd>эпидемиология</kwd><kwd>аутоантитела</kwd><kwd>ацетилхолиновые рецепторы</kwd><kwd>клинические особенности</kwd></kwd-group><kwd-group xml:lang="en"><kwd>myasthenia gravis</kwd><kwd>thymoma</kwd><kwd>epidemiology</kwd><kwd>autoantibodies</kwd><kwd>acetylcholine receptors</kwd><kwd>clinical features</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Dresser L, Wlodarski R, Rezania K, Soliven B. Myasthenia Gravis: Epidemiology, Pathophysiology and Clinical Manifestations. J Clin Med. 2021;10(11):2235. https://doi.org/10.3390/jcm10112235</mixed-citation><mixed-citation xml:lang="en">Dresser L, Wlodarski R, Rezania K, Soliven B. Myasthenia Gravis: Epidemiology, Pathophysiology and Clinical Manifestations. J Clin Med. 2021;10(11):2235. https://doi.org/10.3390/jcm10112235</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Conti-Fine BM, Milani M, Kaminski HJ. Myasthenia gravis: past, present, and future. J Clin Invest. 2006;116(11):2843–2854. https://doi.org/10.1172/JCI29894</mixed-citation><mixed-citation xml:lang="en">Conti-Fine BM, Milani M, Kaminski HJ. Myasthenia gravis: past, present, and future. J Clin Invest. 2006;116(11):2843–2854. https://doi.org/10.1172/JCI29894</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Avidan N, Le Panse R, Berrih-Aknin S, Miller A. Genetic basis of myasthenia gravis — a comprehensive review. J Autoimmun. 2014;52:146–153. https://doi.org/10.1016/j.jaut.2013.12.001</mixed-citation><mixed-citation xml:lang="en">Avidan N, Le Panse R, Berrih-Aknin S, Miller A. Genetic basis of myasthenia gravis — a comprehensive review. J Autoimmun. 2014;52:146–153. https://doi.org/10.1016/j.jaut.2013.12.001</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Bubuioc AM, Kudebayeva A, Turuspekova S, Lisnic V, Leone MA. The epidemiology of myasthenia gravis. J Med Life. 2021;14(1):7–16. https://doi.org/10.25122/jml-2020-0145</mixed-citation><mixed-citation xml:lang="en">Bubuioc AM, Kudebayeva A, Turuspekova S, Lisnic V, Leone MA. The epidemiology of myasthenia gravis. J Med Life. 2021;14(1):7–16. https://doi.org/10.25122/jml-2020-0145</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Berrih-Aknin S, Frenkian-Cuvelier M, Eymard B. Diagnostic and clinical classifi cation of autoimmune myasthenia gravis. J Autoimmun. 2014;48–49:143–148. https://doi.org/10.1016/j.jaut.2014.01.003</mixed-citation><mixed-citation xml:lang="en">Berrih-Aknin S, Frenkian-Cuvelier M, Eymard B. Diagnostic and clinical classifi cation of autoimmune myasthenia gravis. J Autoimmun. 2014;48–49:143–148. https://doi.org/10.1016/j.jaut.2014.01.003</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Cleanthous S, Mork AC, Regnault A, Cano S, Kaminski HJ, Morel T. Development of the Myasthenia Gravis (MG) Symptoms PRO: a case study of a patient-centred outcome measure in rare disease. Orphanet J Rare Dis. 2021;16(1):457. https://doi.org/10.1186/s13023-021-02064-0</mixed-citation><mixed-citation xml:lang="en">Cleanthous S, Mork AC, Regnault A, Cano S, Kaminski HJ, Morel T. Development of the Myasthenia Gravis (MG) Symptoms PRO: a case study of a patient-centred outcome measure in rare disease. Orphanet J Rare Dis. 2021;16(1):457. https://doi.org/10.1186/s13023-021-02064-0</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Isbister CM, Mackenzie PJ, Anderson D, Wade NK, Oger J. Co-occurrence of multiple sclerosis and myasthenia gravis in British Columbia. Mult Scler. 2003;9(6):550–553. https://doi.org/10.1191/1352458503ms964oa</mixed-citation><mixed-citation xml:lang="en">Isbister CM, Mackenzie PJ, Anderson D, Wade NK, Oger J. Co-occurrence of multiple sclerosis and myasthenia gravis in British Columbia. Mult Scler. 2003;9(6):550–553. https://doi.org/10.1191/1352458503ms964oa</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Deymeer F. History of Myasthenia Gravis Revisited. Noro Psikiyatr Ars. 2020;58(2):154–162. https://doi.org/10.29399/npa.27315</mixed-citation><mixed-citation xml:lang="en">Deymeer F. History of Myasthenia Gravis Revisited. Noro Psikiyatr Ars. 2020;58(2):154–162. https://doi.org/10.29399/npa.27315</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Grob D, Brunner N, Namba T, Pagala M. Lifetime course of myasthenia gravis. Muscle Nerve. 2008;37(2):141–149. https://doi.org/10.1002/mus.20950</mixed-citation><mixed-citation xml:lang="en">Grob D, Brunner N, Namba T, Pagala M. Lifetime course of myasthenia gravis. Muscle Nerve. 2008;37(2):141–149. https://doi.org/10.1002/mus.20950</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Hehir MK, Silvestri NJ. Generalized Myasthenia Gravis: Classifi cation, Clinical Presentation, Natural History, and Epidemiology. Neurol Clin. 2018;36(2):253–260. https://doi.org/10.1016/j.ncl.2018.01.002</mixed-citation><mixed-citation xml:lang="en">Hehir MK, Silvestri NJ. Generalized Myasthenia Gravis: Classifi cation, Clinical Presentation, Natural History, and Epidemiology. Neurol Clin. 2018;36(2):253–260. https://doi.org/10.1016/j.ncl.2018.01.002</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Carr AS, Cardwell CR, McCarron PO, McConville J. A systematic review of population based epidemiological studies in Myasthenia Gravis. BMC Neurol. 2010;10:46. https://doi.org/10.1186/1471-2377-10-46</mixed-citation><mixed-citation xml:lang="en">Carr AS, Cardwell CR, McCarron PO, McConville J. A systematic review of population based epidemiological studies in Myasthenia Gravis. BMC Neurol. 2010;10:46. https://doi.org/10.1186/1471-2377-10-46</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Santos E, Coutinho E, Moreira I, Silva AM, Lopes D, Costa H et al. Epidemiology of myasthenia gravis in Northern Portugal: Frequency estimates and clinical epidemiological distribution of cases. Muscle Nerve. 2016;54(3):413–421. https://doi.org/10.1002/mus.25068</mixed-citation><mixed-citation xml:lang="en">Santos E, Coutinho E, Moreira I, Silva AM, Lopes D, Costa H et al. Epidemiology of myasthenia gravis in Northern Portugal: Frequency estimates and clinical epidemiological distribution of cases. Muscle Nerve. 2016;54(3):413–421. https://doi.org/10.1002/mus.25068</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Хатхе ЮА, Заболотских НВ, Терпелец СА. Эпидемиологические и популяционные аспекты миастении в Краснодарском крае. Нервно-мышечные болезни. 2018;8(1):28–33. https://doi.org/10.17650/2222-8721-2018-8-1-28-33</mixed-citation><mixed-citation xml:lang="en">Hatкhe YA, Zabolotskih NV, Terpelec SA. Epidemiological and population aspects of myasthenia gravis in the Krasnodar district. Neuromuscular diseases (Nervno-myshechnye bolezni). 2018;8(1):28–33. (In Russ.). https://doi.org/10.17650/2222-8721-2018-8-1-28-33</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Ишмухаметова АТ, Мусин РГ, Хидиятова ИМ, Магжанов РВ. Эпидемиологическое исследование миастении гравис в Республике Башкортостан. Неврологический журнал. 2006;11(6):16–21. URL: https://www.elibrary.ru/item.asp?id=9313415</mixed-citation><mixed-citation xml:lang="en">Ishmuhametova AT, Musin RG, Hidiyatova IM, Magzhanov RV. Epidemiological study of myasthenia gravis in the Republic of Bashkortostan. Neurological Journal (Nevrologicheskiy Zhurnal). 2006;11(6):16–21. (In Russ.). URL: https://www.elibrary.ru/item.asp?id=9313415</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Романова ТВ. Эпидемиологическое исследование миастении гравис в Самарской области. Саратовский научно-медицинский журнал. 2012;8(1):091–095. URL: https://ssmj.ru/2012/1/091</mixed-citation><mixed-citation xml:lang="en">Romanova TV. Epidemiological study of myasthenia gravis in the Samara region. Saratov Scientific Medical Journal (Saratovskij nauchno-medicinskij zhurnal). 2012;8(1):091–095. (In Russ.). URL: https://ssmj.ru/2012/1/091</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Заславский ЛГ, Хуршилов АБ. Основные клинико-эпидемиологические показатели миастении в Ленинградской области. Ученые записки Санкт-Петербургского государственного медицинского университета имени академика И.П. Павлова. 2015;22(4):40–43. https://doi.org/10.24884/1607-4181-2015-22-4-40-43</mixed-citation><mixed-citation xml:lang="en">Zaslavsky LG, Hurshilov AB. Main clinic and epidemiological factors of myasthenia in Leningrad region. The Scientifi c Notes of the Pavlov University (Uchenye zapiski Sankt-Peterburgskogo gosudarstvennogo medicinskogo universiteta imeni akademika I.P. Pavlova). 2015;22(4):40–43. (In Russ.). https://doi.org/10.24884/1607-4181-2015-22-4-40-43</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Koneczny I, Herbst R. Myasthenia Gravis: Pathogenic Effects of Autoantibodies on Neuromuscular Architecture. Cells. 2019;8(7):671. https://doi.org/10.3390/cells8070671</mixed-citation><mixed-citation xml:lang="en">Koneczny I, Herbst R. Myasthenia Gravis: Pathogenic Effects of Autoantibodies on Neuromuscular Architecture. Cells. 2019;8(7):671. https://doi.org/10.3390/cells8070671</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Uzawa A, Kuwabara S, Suzuki S, Imai T, Murai H, Ozawa Y et al. Roles of cytokines and T cells in the pathogenesis of myasthenia gravis. Clin Exp Immunol. 2021;203(3):366–374. https://doi.org/10.1111/cei.13546</mixed-citation><mixed-citation xml:lang="en">Uzawa A, Kuwabara S, Suzuki S, Imai T, Murai H, Ozawa Y et al. Roles of cytokines and T cells in the pathogenesis of myasthenia gravis. Clin Exp Immunol. 2021;203(3):366–374. https://doi.org/10.1111/cei.13546</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Lee JY, Stathopoulos P, Gupta S, Bannock JM, Barohn RJ, Cotzomi E et al. Compromised fi delity of B-cell tolerance checkpoints in AChR and MuSK myasthenia gravis. Ann Clin Transl Neurol. 2016;3(6):443–454. https://doi.org/10.1002/acn3.311</mixed-citation><mixed-citation xml:lang="en">Lee JY, Stathopoulos P, Gupta S, Bannock JM, Barohn RJ, Cotzomi E et al. Compromised fi delity of B-cell tolerance checkpoints in AChR and MuSK myasthenia gravis. Ann Clin Transl Neurol. 2016;3(6):443–454. https://doi.org/10.1002/acn3.311</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Vander Heiden JA, Stathopoulos P, Zhou JQ, Chen L, Gilbert TJ, Bolen CR et al. Dysregulation of B Cell Repertoire Formation in Myasthenia Gravis Patients Revealed through Deep Sequencing. J Immunol. 2017;198(4):1460–1473. https://doi.org/10.4049/jimmunol.1601415</mixed-citation><mixed-citation xml:lang="en">Vander Heiden JA, Stathopoulos P, Zhou JQ, Chen L, Gilbert TJ, Bolen CR et al. Dysregulation of B Cell Repertoire Formation in Myasthenia Gravis Patients Revealed through Deep Sequencing. J Immunol. 2017;198(4):1460–1473. https://doi.org/10.4049/jimmunol.1601415</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Takaba H, Takayanagi H. The Mechanisms of T Cell Selection in the Thymus. Trends Immunol. 2017;38(11):805–816. https://doi.org/10.1016/j.it.2017.07.010</mixed-citation><mixed-citation xml:lang="en">Takaba H, Takayanagi H. The Mechanisms of T Cell Selection in the Thymus. Trends Immunol. 2017;38(11):805–816. https://doi.org/10.1016/j.it.2017.07.010</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Poëa-Guyon S, Christadoss P, Le Panse R, Guyon T, De Baets M, Wakkach A et al. Eff ects of cytokines on acetylcholine receptor expression: implications for myasthenia gravis. J Immunol. 2005;174(10):5941–5949. https://doi.org/10.4049/jimmunol.174.10.5941</mixed-citation><mixed-citation xml:lang="en">Poëa-Guyon S, Christadoss P, Le Panse R, Guyon T, De Baets M, Wakkach A et al. Eff ects of cytokines on acetylcholine receptor expression: implications for myasthenia gravis. J Immunol. 2005;174(10):5941–5949. https://doi.org/10.4049/jimmunol.174.10.5941</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Dragin N, Bismuth J, Cizeron-Clairac G, Biferi MG, Berthault C, Serraf A et al. Estrogen-mediated downregulation of AIRE influences sexual dimorphism in autoimmune diseases. J Clin Invest. 2016;126(4):1525–1537. https://doi.org/10.1172/JCI81894</mixed-citation><mixed-citation xml:lang="en">Dragin N, Bismuth J, Cizeron-Clairac G, Biferi MG, Berthault C, Serraf A et al. Estrogen-mediated downregulation of AIRE influences sexual dimorphism in autoimmune diseases. J Clin Invest. 2016;126(4):1525–1537. https://doi.org/10.1172/JCI81894</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Truffault F, de Montpreville V, Eymard B, Sharshar T, Le Panse R, Berrih-Aknin S. Thymic Germinal Centers and Corticosteroids in Myasthenia Gravis: an Immunopathological Study in 1035 Cases and a Critical Review. Clin Rev Allergy Immunol. 2017;52(1):108–124. https://doi.org/10.1007/s12016-016-8558-3</mixed-citation><mixed-citation xml:lang="en">Truff ault F, de Montpreville V, Eymard B, Sharshar T, Le Panse R, Berrih-Aknin S. Thymic Germinal Centers and Corticosteroids in Myasthenia Gravis: an Immunopathological Study in 1035 Cases and a Critical Review. Clin Rev Allergy Immunol. 2017;52(1):108–124. https://doi.org/10.1007/s12016-016-8558-3</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Vrolix K, Fraussen J, Losen M, Stevens J, Lazaridis K, Molenaar PC et al. Clonal heterogeneity of thymic B cells from earlyonset myasthenia gravis patients with antibodies against the acetylcholine receptor. J Autoimmun. 2014;52:101–112. https://doi.org/10.1016/j.jaut.2013.12.008</mixed-citation><mixed-citation xml:lang="en">Vrolix K, Fraussen J, Losen M, Stevens J, Lazaridis K, Molenaar PC et al. Clonal heterogeneity of thymic B cells from earlyonset myasthenia gravis patients with antibodies against the acetylcholine receptor. J Autoimmun. 2014;52:101–112. https://doi.org/10.1016/j.jaut.2013.12.008</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Vinuesa CG, Linterman MA, Yu D, MacLennan IC. Follicular Helper T Cells. Annu Rev Immunol. 2016;34:335–368. https://doi.org/10.1146/annurev-immunol-041015-055605</mixed-citation><mixed-citation xml:lang="en">Vinuesa CG, Linterman MA, Yu D, MacLennan IC. Follicular Helper T Cells. Annu Rev Immunol. 2016;34:335–368. https://doi.org/10.1146/annurev-immunol-041015-055605</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Gradolatto A, Nazzal D, Truff ault F, Bismuth J, Fadel E, Foti M, Berrih-Aknin S. Both Treg cells and Tconv cells are defective in the Myasthenia gravis thymus: roles of IL-17 and TNF-α. J Autoimmun. 2014;52:53–63. https://doi.org/10.1016/j.jaut.2013.12.015</mixed-citation><mixed-citation xml:lang="en">Gradolatto A, Nazzal D, Truff ault F, Bismuth J, Fadel E, Foti M, Berrih-Aknin S. Both Treg cells and Tconv cells are defective in the Myasthenia gravis thymus: roles of IL-17 and TNF-α. J Autoimmun. 2014;52:53–63. https://doi.org/10.1016/j.jaut.2013.12.015</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Albuquerque EX, Pereira EF, Alkondon M, Rogers SW. Mammalian nicotinic acetylcholine receptors: from structure to function. Physiol Rev. 2009;89(1):73–120. https://doi.org/10.1152/physrev.00015.2008</mixed-citation><mixed-citation xml:lang="en">Albuquerque EX, Pereira EF, Alkondon M, Rogers SW. Mammalian nicotinic acetylcholine receptors: from structure to function. Physiol Rev. 2009;89(1):73–120. https://doi.org/10.1152/physrev.00015.2008</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Tzartos SJ, Barkas T, Cung MT, Mamalaki A, Marraud M, Orlewski P et al. Anatomy of the antigenic structure of a large membrane autoantigen, the muscle-type nicotinic acetylcholine receptor. Immunol Rev. 1998;163:89–120. https://doi.org/10.1111/j.1600-065x.1998.tb01190.x</mixed-citation><mixed-citation xml:lang="en">Tzartos SJ, Barkas T, Cung MT, Mamalaki A, Marraud M, Orlewski P et al. Anatomy of the antigenic structure of a large membrane autoantigen, the muscle-type nicotinic acetylcholine receptor. Immunol Rev. 1998;163:89–120. https://doi.org/10.1111/j.1600-065x.1998.tb01190.x</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Kordas G, Lagoumintzis G, Sideris S, Poulas K, Tzartos SJ. Direct proof of the in vivo pathogenic role of the AChR autoantibodies from myasthenia gravis patients [published correction appears in PLoS One. 2015;10(1):e0117673] [published correction appears in PLoS One. 2015;10(3):e0120947]. PLoS One. 2014;9(9):e108327. Published 2014 Sep 26. https://doi.org/10.1371/journal.pone.0108327</mixed-citation><mixed-citation xml:lang="en">Kordas G, Lagoumintzis G, Sideris S, Poulas K, Tzartos SJ. Direct proof of the in vivo pathogenic role of the AChR autoantibodies from myasthenia gravis patients [published correction appears in PLoS One. 2015;10(1):e0117673] [published correction appears in PLoS One. 2015;10(3):e0120947]. PLoS One. 2014;9(9):e108327. Published 2014 Sep 26. https://doi.org/10.1371/journal.pone.0108327</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Fostieri E, Beeson D, Tzartos SJ. The conformation of the main immunogenic region on the alpha-subunit of muscle acetylcholine receptor is affected by neighboring receptor subunits. FEBS Lett. 2000;481(2):127–130. https://doi.org/10.1016/s0014-5793(00)01980-3</mixed-citation><mixed-citation xml:lang="en">Fostieri E, Beeson D, Tzartos SJ. The conformation of the main immunogenic region on the alpha-subunit of muscle acetylcholine receptor is affected by neighboring receptor subunits. FEBS Lett. 2000;481(2):127–130. https://doi.org/10.1016/s0014-5793(00)01980-3</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Morgan BP, Chamberlain-Banoub J, Neal JW, Song W, Mizuno M, Harris CL. The membrane attack pathway of complement drives pathology in passively induced experimental autoimmune myasthenia gravis in mice. Clin Exp Immunol. 2006;146(2):294–302. https://doi.org/10.1111/j.1365-2249.2006.03205.x</mixed-citation><mixed-citation xml:lang="en">Morgan BP, Chamberlain-Banoub J, Neal JW, Song W, Mizuno M, Harris CL. The membrane attack pathway of complement drives pathology in passively induced experimental autoimmune myasthenia gravis in mice. Clin Exp Immunol. 2006;146(2):294–302. https://doi.org/10.1111/j.1365-2249.2006.03205.x</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Rødgaard A, Nielsen FC, Djurup R, Somnier F, Gammeltoft S. Acetylcholine receptor antibody in myasthenia gravis: predominance of IgG subclasses 1 and 3. Clin Exp Immunol. 1987;67(1):82–88. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1542559/</mixed-citation><mixed-citation xml:lang="en">Rødgaard A, Nielsen FC, Djurup R, Somnier F, Gammeltoft S. Acetylcholine receptor antibody in myasthenia gravis: predominance of IgG subclasses 1 and 3. Clin Exp Immunol. 1987;67(1):82–88. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1542559/</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Morgan BP, Chamberlain-Banoub J, Neal JW, Song W, Mizuno M, Harris CL. The membrane attack pathway of complement drives pathology in passively induced experimental autoimmune myasthenia gravis in mice. Clin Exp Immunol. 2006;146(2):294–302. https://doi.org/10.1111/j.1365-2249.2006.03205.x</mixed-citation><mixed-citation xml:lang="en">Morgan BP, Chamberlain-Banoub J, Neal JW, Song W, Mizuno M, Harris CL. The membrane attack pathway of complement drives pathology in passively induced experimental autoimmune myasthenia gravis in mice. Clin Exp Immunol. 2006;146(2):294–302. https://doi.org/10.1111/j.1365-2249.2006.03205.x</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Kim N, Stiegler AL, Cameron TO, Hallock PT, Gomez AM, Huang JH, et al. Lrp4 is a receptor for Agrin and forms a complex with MuSK. Cell. 2008;135(2):334–342. https://doi.org/10.1016/j.cell.2008.10.002</mixed-citation><mixed-citation xml:lang="en">Kim N, Stiegler AL, Cameron TO, Hallock PT, Gomez AM, Huang JH, et al. Lrp4 is a receptor for Agrin and forms a complex with MuSK. Cell. 2008;135(2):334–342. https://doi.org/10.1016/j.cell.2008.10.002</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Guptill JT, Sanders DB, Evoli A. Anti-MuSK antibody myasthenia gravis: clinical findings and response to treatment in two large cohorts. Muscle Nerve. 2011;44(1):36–40. https://doi.org/10.1002/mus.22006</mixed-citation><mixed-citation xml:lang="en">Guptill JT, Sanders DB, Evoli A. Anti-MuSK antibody myasthenia gravis: clinical findings and response to treatment in two large cohorts. Muscle Nerve. 2011;44(1):36–40. https://doi.org/10.1002/mus.22006</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Cole RN, Reddel SW, Gervásio OL, Phillips WD. Anti-MuSK patient antibodies disrupt the mouse neuromuscular junction. Ann Neurol. 2008;63(6):782–789. https://doi.org/10.1002/ana.21371</mixed-citation><mixed-citation xml:lang="en">Cole RN, Reddel SW, Gervásio OL, Phillips WD. Anti-MuSK patient antibodies disrupt the mouse neuromuscular junction. Ann Neurol. 2008;63(6):782–789. https://doi.org/10.1002/ana.21371</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Niks EH, van Leeuwen Y, Leite MI, Dekker FW, Wintzen AR, Wirtz PW et al. Clinical fl uctuations in MuSK myasthenia gravis are related to antigen-specific IgG4 instead of IgG1. J Neuroimmunol. 2008;195(1–2):151–156. https://doi.org/10.1016/j.jneuroim.2008.01.013</mixed-citation><mixed-citation xml:lang="en">Niks EH, van Leeuwen Y, Leite MI, Dekker FW, Wintzen AR, Wirtz PW et al. Clinical fl uctuations in MuSK myasthenia gravis are related to antigen-specific IgG4 instead of IgG1. J Neuroimmunol. 2008;195(1–2):151–156. https://doi.org/10.1016/j.jneuroim.2008.01.013</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">Poulas K, Koutsouraki E, Kordas G, Kokla A, Tzartos SJ. Anti- MuSK- and anti-AChR-positive myasthenia gravis induced by d-penicillamine. J Neuroimmunol. 2012;250(1–2):94–98. https://doi.org/10.1016/j.jneuroim.2012.05.011</mixed-citation><mixed-citation xml:lang="en">Poulas K, Koutsouraki E, Kordas G, Kokla A, Tzartos SJ. Anti- MuSK- and anti-AChR-positive myasthenia gravis induced by d-penicillamine. J Neuroimmunol. 2012;250(1–2):94–98. https://doi.org/10.1016/j.jneuroim.2012.05.011</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">Gilhus NE, Verschuuren JJ. Myasthenia gravis: subgroup classifi cation and therapeutic strategies. Lancet Neurol. 2015;14(10):1023–1036. https://doi.org/10.1016/S1474-4422(15)00145-3</mixed-citation><mixed-citation xml:lang="en">Gilhus NE, Verschuuren JJ. Myasthenia gravis: subgroup classifi cation and therapeutic strategies. Lancet Neurol. 2015;14(10):1023–1036. https://doi.org/10.1016/S1474-4422(15)00145-3</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">Cortés-Vicente E, Gallardo E, Martínez MÁ, Díaz-Manera J, Querol L, Rojas-García R, Illa I. Clinical Characteristics of Patients With Double-Seronegative Myasthenia Gravis and Antibodies to Cortactin. JAMA Neurol. 2016;73(9):1099–1104. https://doi.org/10.1001/jamaneurol.2016.2032</mixed-citation><mixed-citation xml:lang="en">Cortés-Vicente E, Gallardo E, Martínez MÁ, Díaz-Manera J, Querol L, Rojas-García R, Illa I. Clinical Characteristics of Patients With Double-Seronegative Myasthenia Gravis and Antibodies to Cortactin. JAMA Neurol. 2016;73(9):1099–1104. https://doi.org/10.1001/jamaneurol.2016.2032</mixed-citation></citation-alternatives></ref><ref id="cit42"><label>42</label><citation-alternatives><mixed-citation xml:lang="ru">Higuchi O, Hamuro J, Motomura M, Yamanashi Y. Autoantibodies to low-density lipoprotein receptor-related protein 4 in myasthenia gravis. Ann Neurol. 2011;69(2):418–422. https://doi.org/10.1002/ana.22312</mixed-citation><mixed-citation xml:lang="en">Higuchi O, Hamuro J, Motomura M, Yamanashi Y. Autoantibodies to low-density lipoprotein receptor-related protein 4 in myasthenia gravis. Ann Neurol. 2011;69(2):418–422. https://doi.org/10.1002/ana.22312</mixed-citation></citation-alternatives></ref><ref id="cit43"><label>43</label><citation-alternatives><mixed-citation xml:lang="ru">Rivner MH, Quarles BM, Pan JX, Yu Z, Howard JF Jr, Corse A et al. Clinical features of LRP4/agrin-antibody-positive myasthenia gravis: A multicenter study. Muscle Nerve. 2020;62(3):333–343. https://doi.org/10.1002/mus.26985</mixed-citation><mixed-citation xml:lang="en">Rivner MH, Quarles BM, Pan JX, Yu Z, Howard JF Jr, Corse A et al. Clinical features of LRP4/agrin-antibody-positive myasthenia gravis: A multicenter study. Muscle Nerve. 2020;62(3):333–343. https://doi.org/10.1002/mus.26985</mixed-citation></citation-alternatives></ref><ref id="cit44"><label>44</label><citation-alternatives><mixed-citation xml:lang="ru">Zhang B, Tzartos JS, Belimezi M, Ragheb S, Bealmear B, Lewis RA et al. Autoantibodies to lipoprotein-related protein 4 in patients with double-seronegative myasthenia gravis. Arch Neurol. 2012;69(4):445–451. https://doi.org/10.1001/archneurol.2011.2393</mixed-citation><mixed-citation xml:lang="en">Zhang B, Tzartos JS, Belimezi M, Ragheb S, Bealmear B, Lewis RA et al. Autoantibodies to lipoprotein-related protein 4 in patients with double-seronegative myasthenia gravis. Arch Neurol. 2012;69(4):445–451. https://doi.org/10.1001/archneurol.2011.2393</mixed-citation></citation-alternatives></ref><ref id="cit45"><label>45</label><citation-alternatives><mixed-citation xml:lang="ru">Zagoriti Z, Kambouris ME, Patrinos GP, Tzartos SJ, Poulas K. Recent advances in genetic predisposition of myasthenia gravis. Biomed Res Int. 2013;2013:404053. https://doi.org/10.1155/2013/404053</mixed-citation><mixed-citation xml:lang="en">Zagoriti Z, Kambouris ME, Patrinos GP, Tzartos SJ, Poulas K. Recent advances in genetic predisposition of myasthenia gravis. Biomed Res Int. 2013;2013:404053. https://doi.org/10.1155/2013/404053</mixed-citation></citation-alternatives></ref><ref id="cit46"><label>46</label><citation-alternatives><mixed-citation xml:lang="ru">Pirskanen R. Genetic aspects in myasthenia gravis. A family study of 264 Finnish patients. Acta Neurol Scand. 1977;56(5):365–388 URL: https://pubmed.ncbi.nlm.nih.gov/596124/</mixed-citation><mixed-citation xml:lang="en">Pirskanen R. Genetic aspects in myasthenia gravis. A family study of 264 Finnish patients. Acta Neurol Scand. 1977;56(5):365–388 URL: https://pubmed.ncbi.nlm.nih.gov/596124/</mixed-citation></citation-alternatives></ref><ref id="cit47"><label>47</label><citation-alternatives><mixed-citation xml:lang="ru">Renton AE, Pliner HA, Provenzano C, Evoli A, Ricciardi R, Nalls MA et al. A genome-wide association study of myasthenia gravis. JAMA Neurol. 2015;72(4):396–404. https://doi.org/10.1001/jamaneurol.2014.4103</mixed-citation><mixed-citation xml:lang="en">Renton AE, Pliner HA, Provenzano C, Evoli A, Ricciardi R, Nalls MA et al. A genome-wide association study of myasthenia gravis. JAMA Neurol. 2015;72(4):396–404. https://doi.org/10.1001/jamaneurol.2014.4103</mixed-citation></citation-alternatives></ref><ref id="cit48"><label>48</label><citation-alternatives><mixed-citation xml:lang="ru">Carlsson B, Wallin J, Pirskanen R, Matell G, Smith CI. Diff erent HLA DR-DQ associations in subgroups of idiopathic myasthenia gravis. Immunogenetics. 1990;31(5–6):285–290. https://doi.org/10.1007/BF02115001</mixed-citation><mixed-citation xml:lang="en">Carlsson B, Wallin J, Pirskanen R, Matell G, Smith CI. Diff erent HLA DR-DQ associations in subgroups of idiopathic myasthenia gravis. Immunogenetics. 1990;31(5–6):285–290. https://doi.org/10.1007/BF02115001</mixed-citation></citation-alternatives></ref><ref id="cit49"><label>49</label><citation-alternatives><mixed-citation xml:lang="ru">Horton R, Gibson R, Coggill P, Miretti M, Allcock RJ, Almeida J et al. Variation analysis and gene annotation of eight MHC haplotypes: the MHC Haplotype Project. Immunogenetics. 2008;60(1):1–18. https://doi.org/10.1007/s00251-007-0262-2</mixed-citation><mixed-citation xml:lang="en">Horton R, Gibson R, Coggill P, Miretti M, Allcock RJ, Almeida J et al. Variation analysis and gene annotation of eight MHC haplotypes: the MHC Haplotype Project. Immunogenetics. 2008;60(1):1–18. https://doi.org/10.1007/s00251-007-0262-2</mixed-citation></citation-alternatives></ref><ref id="cit50"><label>50</label><citation-alternatives><mixed-citation xml:lang="ru">From the American Association of Neurological Surgeons (AANS), American Society of Neuroradiology (ASNR), Cardiovascular and Interventional Radiology Society of Europe (CIRSE), Canadian Interventional Radiology Association (CIRA), Congress of Neurological Surgeons (CNS), European Society of Minimally Invasive Neurological Therapy (ESMINT), European Society of Neuroradiology (ESNR), European Stroke Organization (ESO), Society for Cardiovascular Angiography and Interventions (SCAI), Society of Interventional Radiology (SIR), Society of NeuroInterventional Surgery (SNIS), and World Stroke Organization (WSO), Sacks D, Baxter B, Campbell BCV, Carpenter JS, Cognard C, Dippel D, et al. Multisociety Consensus Quality Improvement Revised Consensus Statement for Endovascular Therapy of Acute Ischemic Stroke. Int J Stroke. 2018;13(6):612–632. https://doi.org/10.1177/1747493018778713</mixed-citation><mixed-citation xml:lang="en">From the American Association of Neurological Surgeons (AANS), American Society of Neuroradiology (ASNR), Cardiovascular and Interventional Radiology Society of Europe (CIRSE), Canadian Interventional Radiology Association (CIRA), Congress of Neurological Surgeons (CNS), European Society of Minimally Invasive Neurological Therapy (ESMINT), European Society of Neuroradiology (ESNR), European Stroke Organization (ESO), Society for Cardiovascular Angiography and Interventions (SCAI), Society of Interventional Radiology (SIR), Society of NeuroInterventional Surgery (SNIS), and World Stroke Organization (WSO), Sacks D, Baxter B, Campbell BCV, Carpenter JS, Cognard C, Dippel D, et al. Multisociety Consensus Quality Improvement Revised Consensus Statement for Endovascular Therapy of Acute Ischemic Stroke. Int J Stroke. 2018;13(6):612–632. https://doi.org/10.1177/1747493018778713</mixed-citation></citation-alternatives></ref><ref id="cit51"><label>51</label><citation-alternatives><mixed-citation xml:lang="ru">Fernández-Mestre MT, Vargas V, Montagnani S, Cotúa M, Ogando V, Layrisse Z. HLA class II and class I polymorphism in Venezuelan patients with myasthenia gravis. Hum Immunol. 2004;65(1):54–59. https://doi.org/10.1016/j.humimm.2003.10.003</mixed-citation><mixed-citation xml:lang="en">Fernández-Mestre MT, Vargas V, Montagnani S, Cotúa M, Ogando V, Layrisse Z. HLA class II and class I polymorphism in Venezuelan patients with myasthenia gravis. Hum Immunol. 2004;65(1):54–59. https://doi.org/10.1016/j.humimm.2003.10.003</mixed-citation></citation-alternatives></ref><ref id="cit52"><label>52</label><citation-alternatives><mixed-citation xml:lang="ru">Oosterhuis HJ. The natural course of myasthenia gravis: a long term follow up study. J Neurol Neurosurg Psychiatry. 1989;52(10):1121–1127. https://doi.org/10.1136/jnnp.52.10.1121</mixed-citation><mixed-citation xml:lang="en">Oosterhuis HJ. The natural course of myasthenia gravis: a long term follow up study. J Neurol Neurosurg Psychiatry. 1989;52(10):1121–1127. https://doi.org/10.1136/jnnp.52.10.1121</mixed-citation></citation-alternatives></ref><ref id="cit53"><label>53</label><citation-alternatives><mixed-citation xml:lang="ru">Hong YH, Kwon SB, Kim BJ, Kim BJ, Kim SH, Kim JK et al. Prognosis of ocular myasthenia in Korea: a retrospective multicenter analysis of 202 patients. J Neurol Sci. 2008;273(1–2):10–14. https://doi.org/10.1016/j.jns.2008.05.023</mixed-citation><mixed-citation xml:lang="en">Hong YH, Kwon SB, Kim BJ, Kim BJ, Kim SH, Kim JK et al. Prognosis of ocular myasthenia in Korea: a retrospective multicenter analysis of 202 patients. J Neurol Sci. 2008;273(1–2):10–14. https://doi.org/10.1016/j.jns.2008.05.023</mixed-citation></citation-alternatives></ref><ref id="cit54"><label>54</label><citation-alternatives><mixed-citation xml:lang="ru">Hendricks TM, Bhatti MT, Hodge DO, Chen JJ. Incidence, Epidemiology, and Transformation of Ocular Myasthenia Gravis: A Population-Based Study [published correction appears in Am J Ophthalmol. 2020 Jul 3;]. Am J Ophthalmol. 2019;205:99–105. https://doi.org/10.1016/j.ajo.2019.04.01755. Gilhus NE. Myasthenia Gravis. N Engl J Med. 2016;375(26):2570–2581. https://doi.org/10.1056/NEJMra1602678</mixed-citation><mixed-citation xml:lang="en">Hendricks TM, Bhatti MT, Hodge DO, Chen JJ. Incidence, Epidemiology, and Transformation of Ocular Myasthenia Gravis: A Population-Based Study [published correction appears in Am J Ophthalmol. 2020 Jul 3;]. Am J Ophthalmol. 2019;205:99–105. https://doi.org/10.1016/j.ajo.2019.04.01755. Gilhus NE. Myasthenia Gravis. N Engl J Med. 2016;375(26):2570–2581. https://doi.org/10.1056/NEJMra1602678</mixed-citation></citation-alternatives></ref><ref id="cit55"><label>55</label><citation-alternatives><mixed-citation xml:lang="ru">Sih M, Soliven B, Mathenia N, Jacobsen J, Rezania K. Headdrop: A frequent feature of late-onset myasthenia gravis. Muscle Nerve. 2017;56(3):441–444. https://doi.org/10.1002/mus.25526</mixed-citation><mixed-citation xml:lang="en">Sih M, Soliven B, Mathenia N, Jacobsen J, Rezania K. Headdrop: A frequent feature of late-onset myasthenia gravis. Muscle Nerve. 2017;56(3):441–444. https://doi.org/10.1002/mus.25526</mixed-citation></citation-alternatives></ref><ref id="cit56"><label>56</label><citation-alternatives><mixed-citation xml:lang="ru">Ciafaloni E. Myasthenia Gravis and Congenital Myasthenic Syndromes. Continuum (Minneap Minn). 2019;25(6):1767–1784. https://doi.org/10.1212/CON.0000000000000800</mixed-citation><mixed-citation xml:lang="en">Ciafaloni E. Myasthenia Gravis and Congenital Myasthenic Syndromes. Continuum (Minneap Minn). 2019;25(6):1767–1784. https://doi.org/10.1212/CON.0000000000000800</mixed-citation></citation-alternatives></ref><ref id="cit57"><label>57</label><citation-alternatives><mixed-citation xml:lang="ru">Grob D. Course and management of myasthenia gravis. J Am Med Assoc. 1953;153(6):529–532. https://doi.org/10.1001/jama.1953.02940230001001</mixed-citation><mixed-citation xml:lang="en">Grob D. Course and management of myasthenia gravis. J Am Med Assoc. 1953;153(6):529–532. https://doi.org/10.1001/jama.1953.02940230001001</mixed-citation></citation-alternatives></ref><ref id="cit58"><label>58</label><citation-alternatives><mixed-citation xml:lang="ru">Sanders DB, El-Salem K, Massey JM, McConville J, Vincent A. Clinical aspects of MuSK antibody positive seronegative MG. Neurology. 2003;60(12):1978–1980. https://doi.org/10.1212/01.wnl.0000065882.63904.53</mixed-citation><mixed-citation xml:lang="en">Sanders DB, El-Salem K, Massey JM, McConville J, Vincent A. Clinical aspects of MuSK antibody positive seronegative MG. Neurology. 2003;60(12):1978–1980. https://doi.org/10.1212/01.wnl.0000065882.63904.53</mixed-citation></citation-alternatives></ref><ref id="cit59"><label>59</label><citation-alternatives><mixed-citation xml:lang="ru">Pasnoor M, Wolfe GI, Nations S, Trivedi J, Barohn RJ, Herbelin L et al. Clinical fi ndings in MuSK-antibody positive myasthenia gravis: a U.S. experience. Muscle Nerve. 2010;41(3):370–374. https://doi.org/10.1002/mus.21533</mixed-citation><mixed-citation xml:lang="en">Pasnoor M, Wolfe GI, Nations S, Trivedi J, Barohn RJ, Herbelin L et al. Clinical fi ndings in MuSK-antibody positive myasthenia gravis: a U.S. experience. Muscle Nerve. 2010;41(3):370–374. https://doi.org/10.1002/mus.21533</mixed-citation></citation-alternatives></ref><ref id="cit60"><label>60</label><citation-alternatives><mixed-citation xml:lang="ru">Rivner MH, Liu S, Quarles B, Fleenor B, Shen C, Pan J, Mei L. Agrin and low-density lipoprotein-related receptor protein 4 antibodies in amyotrophic lateral sclerosis patients. Muscle Nerve. 2017;55(3):430–432. https://doi.org/10.1002/mus.25438</mixed-citation><mixed-citation xml:lang="en">Rivner MH, Liu S, Quarles B, Fleenor B, Shen C, Pan J, Mei L. Agrin and low-density lipoprotein-related receptor protein 4 antibodies in amyotrophic lateral sclerosis patients. Muscle Nerve. 2017;55(3):430–432. https://doi.org/10.1002/mus.25438</mixed-citation></citation-alternatives></ref><ref id="cit61"><label>61</label><citation-alternatives><mixed-citation xml:lang="ru">Tzartos JS, Zisimopoulou P, Rentzos M, Karandreas N, Zouvelou V, Evangelakou P et al. LRP4 antibodies in serum and CSF from amyotrophic lateral sclerosis patients. Ann Clin Transl Neurol. 2014;1(2):80–87. https://doi.org/10.1002/acn3.26</mixed-citation><mixed-citation xml:lang="en">Tzartos JS, Zisimopoulou P, Rentzos M, Karandreas N, Zouvelou V, Evangelakou P et al. LRP4 antibodies in serum and CSF from amyotrophic lateral sclerosis patients. Ann Clin Transl Neurol. 2014;1(2):80–87. https://doi.org/10.1002/acn3.26</mixed-citation></citation-alternatives></ref><ref id="cit62"><label>62</label><citation-alternatives><mixed-citation xml:lang="ru">Weksler B, Lu B. Alterations of the immune system in thymic malignancies. J Thorac Oncol. 2014;9(9Suppl2):S137–S142. https://doi.org/10.1097/JTO.0000000000000299</mixed-citation><mixed-citation xml:lang="en">Weksler B, Lu B. Alterations of the immune system in thymic malignancies. J Thorac Oncol. 2014;9(9Suppl2):S137–S142. https://doi.org/10.1097/JTO.0000000000000299</mixed-citation></citation-alternatives></ref><ref id="cit63"><label>63</label><citation-alternatives><mixed-citation xml:lang="ru">Punga AR, Maddison P, Heckmann JM, Guptill JT, Evoli A. Epidemiology, diagnostics, and biomarkers of autoimmune neuromuscular junction disorders. Lancet Neurol. 2022;21(2):176–188. https://doi.org/10.1016/S1474-4422(21)00297-0</mixed-citation><mixed-citation xml:lang="en">Punga AR, Maddison P, Heckmann JM, Guptill JT, Evoli A. Epidemiology, diagnostics, and biomarkers of autoimmune neuromuscular junction disorders. Lancet Neurol. 2022;21(2):176–188. https://doi.org/10.1016/S1474-4422(21)00297-0</mixed-citation></citation-alternatives></ref><ref id="cit64"><label>64</label><citation-alternatives><mixed-citation xml:lang="ru">Sanders DB, Wolfe GI, Benatar M, Evoli A, Gilhus NE, Illa I et al. International consensus guidance for management of myasthenia gravis: Executive summary. Neurology. 2016;87(4):419–425. https://doi.org/10.1212/WNL.0000000000002790</mixed-citation><mixed-citation xml:lang="en">Sanders DB, Wolfe GI, Benatar M, Evoli A, Gilhus NE, Illa I et al. International consensus guidance for management of myasthenia gravis: Executive summary. Neurology. 2016;87(4):419–425. https://doi.org/10.1212/WNL.0000000000002790</mixed-citation></citation-alternatives></ref><ref id="cit65"><label>65</label><citation-alternatives><mixed-citation xml:lang="ru">Detterbeck F, French CA, Hornick JL, Inagaki H, Jain D, Lazar AJ et al. The 2021 WHO Classifi cation of Tumors of the Thymus and Mediastinum: What Is New in Thymic Epithelial, Germ Cell, and Mesenchymal Tumors? J Thorac Oncol. 2022;17(2):200–213. https://doi.org/10.1016/j.jtho.2021.10.010</mixed-citation><mixed-citation xml:lang="en">Detterbeck F, French CA, Hornick JL, Inagaki H, Jain D, Lazar AJ et al. The 2021 WHO Classifi cation of Tumors of the Thymus and Mediastinum: What Is New in Thymic Epithelial, Germ Cell, and Mesenchymal Tumors? J Thorac Oncol. 2022;17(2):200–213. https://doi.org/10.1016/j.jtho.2021.10.010</mixed-citation></citation-alternatives></ref><ref id="cit66"><label>66</label><citation-alternatives><mixed-citation xml:lang="ru">Lefeuvre CM, Payet CA, Fayet OM, Maillard S, Truff ault F, Bondet V et al. Risk factors associated with myasthenia gravis in thymoma patients: The potential role of thymic germinal centers. J Autoimmun. 2020;106:102337. https://doi.org/10.1016/j.jaut.2019.102337</mixed-citation><mixed-citation xml:lang="en">Lefeuvre CM, Payet CA, Fayet OM, Maillard S, Truff ault F, Bondet V et al. Risk factors associated with myasthenia gravis in thymoma patients: The potential role of thymic germinal centers. J Autoimmun. 2020;106:102337. https://doi.org/10.1016/j.jaut.2019.102337</mixed-citation></citation-alternatives></ref><ref id="cit67"><label>67</label><citation-alternatives><mixed-citation xml:lang="ru">Yamada Y, Yoshida S, Iwata T, Suzuki H, Tagawa T, Mizobuchi T et al. Risk factors for developing postthymectomy myasthenia gravis in thymoma patients. Ann Thorac Surg. 2015;99(3):1013–1019. https://doi.org/10.1016/j.athoracsur.2014.10.068</mixed-citation><mixed-citation xml:lang="en">Yamada Y, Yoshida S, Iwata T, Suzuki H, Tagawa T, Mizobuchi T et al. Risk factors for developing postthymectomy myasthenia gravis in thymoma patients. Ann Thorac Surg. 2015;99(3):1013–1019. https://doi.org/10.1016/j.athoracsur.2014.10.068</mixed-citation></citation-alternatives></ref><ref id="cit68"><label>68</label><citation-alternatives><mixed-citation xml:lang="ru">Narayanaswami P, Sanders DB, Wolfe G, Benatar M, Cea G, Evoli A et al. International Consensus Guidance for Management of Myasthenia Gravis: 2020 Update. Neurology. 2021;96(3):114–122. https://doi.org/10.1212/WNL.0000000000011124</mixed-citation><mixed-citation xml:lang="en">Narayanaswami P, Sanders DB, Wolfe G, Benatar M, Cea G, Evoli A et al. International Consensus Guidance for Management of Myasthenia Gravis: 2020 Update. Neurology. 2021;96(3):114–122. https://doi.org/10.1212/WNL.0000000000011124</mixed-citation></citation-alternatives></ref><ref id="cit69"><label>69</label><citation-alternatives><mixed-citation xml:lang="ru">Ye B, Tantai JC, Ge XX, Li W, Feng J, Cheng M et al. Surgical techniques for early-stage thymoma: video-assisted thoracoscopic thymectomy versus transsternal thymectomy. J Thorac Cardiovasc Surg. 2014;147(5):1599–1603. https://doi.org/10.1016/j.jtcvs.2013.10.053</mixed-citation><mixed-citation xml:lang="en">Ye B, Tantai JC, Ge XX, Li W, Feng J, Cheng M et al. Surgical techniques for early-stage thymoma: video-assisted thoracoscopic thymectomy versus transsternal thymectomy. J Thorac Cardiovasc Surg. 2014;147(5):1599–1603. https://doi.org/10.1016/j.jtcvs.2013.10.053</mixed-citation></citation-alternatives></ref><ref id="cit70"><label>70</label><citation-alternatives><mixed-citation xml:lang="ru">Xi J, Wang L, Yan C, Song J, Song Y, Chen J et al. The Cancer Genome Atlas dataset-based analysis of aberrantly expressed genes by GeneAnalytics in thymoma associated myasthenia gravis: focusing on T cells. J Thorac Dis. 2019;11(6):2315–2323. https://doi.org/10.21037/jtd.2019.06.01</mixed-citation><mixed-citation xml:lang="en">Xi J, Wang L, Yan C, Song J, Song Y, Chen J et al. The Cancer Genome Atlas dataset-based analysis of aberrantly expressed genes by GeneAnalytics in thymoma associated myasthenia gravis: focusing on T cells. J Thorac Dis. 2019;11(6):2315–2323. https://doi.org/10.21037/jtd.2019.06.01</mixed-citation></citation-alternatives></ref><ref id="cit71"><label>71</label><citation-alternatives><mixed-citation xml:lang="ru">De Rosa A, Fornili M, Maestri Tassoni M, Guida M, Baglietto L, Petrucci L et al. Thymoma-associated myasthenia gravis: Clinical features and predictive value of antiacetylcholine receptor antibodies in the risk of recurrence of thymoma. Thorac Cancer. 2021;12(1):106–113. https://doi.org/10.1111/1759-7714.13724</mixed-citation><mixed-citation xml:lang="en">De Rosa A, Fornili M, Maestri Tassoni M, Guida M, Baglietto L, Petrucci L et al. Thymoma-associated myasthenia gravis: Clinical features and predictive value of antiacetylcholine receptor antibodies in the risk of recurrence of thymoma. Thorac Cancer. 2021;12(1):106–113. https://doi.org/10.1111/1759-7714.13724</mixed-citation></citation-alternatives></ref><ref id="cit72"><label>72</label><citation-alternatives><mixed-citation xml:lang="ru">Szczudlik P, Szyluk B, Lipowska M, Ryniewicz B, Kubiszewska J, Dutkiewicz M et al. Antititin antibody in early- and late-onset myasthenia gravis. Acta Neurol Scand. 2014;130(4):229–233. https://doi.org/10.1111/ane.12271</mixed-citation><mixed-citation xml:lang="en">Szczudlik P, Szyluk B, Lipowska M, Ryniewicz B, Kubiszewska J, Dutkiewicz M et al. Antititin antibody in early- and late-onset myasthenia gravis. Acta Neurol Scand. 2014;130(4):229–233. https://doi.org/10.1111/ane.12271</mixed-citation></citation-alternatives></ref><ref id="cit73"><label>73</label><citation-alternatives><mixed-citation xml:lang="ru">Buckley C, Newsom-Davis J, Willcox N, Vincent A. Do titin and cytokine antibodies in MG patients predict thymoma or thymoma recurrence? Neurology. 2001;57(9):1579–1582. https://doi.org/10.1212/wnl.57.9.1579</mixed-citation><mixed-citation xml:lang="en">Buckley C, Newsom-Davis J, Willcox N, Vincent A. Do titin and cytokine antibodies in MG patients predict thymoma or thymoma recurrence? Neurology. 2001;57(9):1579–1582. https://doi.org/10.1212/wnl.57.9.1579</mixed-citation></citation-alternatives></ref><ref id="cit74"><label>74</label><citation-alternatives><mixed-citation xml:lang="ru">Gastaldi M, De Rosa A, Maestri M, Zardini E, Scaranzin S, Guida M et al. Acquired neuromyotonia in thymoma-associated myasthenia gravis: a clinical and serological study. Eur J Neurol. 2019;26(7):992–999. https://doi.org/10.1111/ene.13922</mixed-citation><mixed-citation xml:lang="en">Gastaldi M, De Rosa A, Maestri M, Zardini E, Scaranzin S, Guida M et al. Acquired neuromyotonia in thymoma-associated myasthenia gravis: a clinical and serological study. Eur J Neurol. 2019;26(7):992–999. https://doi.org/10.1111/ene.13922</mixed-citation></citation-alternatives></ref><ref id="cit75"><label>75</label><citation-alternatives><mixed-citation xml:lang="ru">Masuda T, Motomura M, Utsugisawa K, Nagane Y, Nakata R, Tokuda M et al. Antibodies against the main immunogenic region of the acetylcholine receptor correlate with disease severity in myasthenia gravis. J Neurol Neurosurg Psychiatry. 2012;83(9):935–940. https://doi.org/10.1136/jnnp-2012-302705</mixed-citation><mixed-citation xml:lang="en">Masuda T, Motomura M, Utsugisawa K, Nagane Y, Nakata R, Tokuda M et al. Antibodies against the main immunogenic region of the acetylcholine receptor correlate with disease severity in myasthenia gravis. J Neurol Neurosurg Psychiatry. 2012;83(9):935–940. https://doi.org/10.1136/jnnp-2012-302705</mixed-citation></citation-alternatives></ref><ref id="cit76"><label>76</label><citation-alternatives><mixed-citation xml:lang="ru">Dalakas MC. Immunotherapy in myasthenia gravis in the era of biologics. Nat Rev Neurol. 2019;15(2):113–124. https://doi.org/10.1038/s41582-018-0110-z</mixed-citation><mixed-citation xml:lang="en">Dalakas MC. Immunotherapy in myasthenia gravis in the era of biologics. Nat Rev Neurol. 2019;15(2):113–124. https://doi.org/10.1038/s41582-018-0110-z</mixed-citation></citation-alternatives></ref><ref id="cit77"><label>77</label><citation-alternatives><mixed-citation xml:lang="ru">Пикин ОВ, Рябов АБ, Щербакова НИ, Глушко ВА, Колбанов КИ, Бармин ВВ и др. Ретимэктомия у больных миастенией и рецидивом опухоли вилочковой железы. Хирургия. Журнал им. Н.И. Пирогова. 2021;9:27–33. https://doi.org/10.17116/hirurgia202109127</mixed-citation><mixed-citation xml:lang="en">Pikin OV, Ryabov AB, Shcherbakova NI, Glushko VA, Kolbanov KI, Barmin VV et al. Rethymectomy in patients with myasthenia gravis and recurrent thymoma. Pirogov Russian Journal of Surgery (Khirurgiya. Zurnal im. N.I. Pirogova). 2021;9:27–33. (In Russ.). https://doi.org/10.17116/hirurgia202109127</mixed-citation></citation-alternatives></ref><ref id="cit78"><label>78</label><citation-alternatives><mixed-citation xml:lang="ru">Шевченко ЮЛ, Ветшев ПС, Санадзе АГ, Аблицов АЮ, Сиднев ДВ, Дедаев СИ, Магомедов Б. Антитела к ацетилхолиновому рецептору в оценке эффективности тимэктомии у больных с генерализованной миастенией. Вестник Национального медико-хирургического центра им. Н.И. Пирогова. 2011;6(4):15–19.</mixed-citation><mixed-citation xml:lang="en">Shevchenko YL, Vetshev PS, Sanadze AG, Ablitsov AYu, Sidnev DV, Dedaev SI, Magomedov B. Antibodies to the acetylcholine receptor in assessing the eff ectiveness of thymectomy in patients with generalized myasthenia gravis. Bulletin of the National Medical and Surgical Center named after N.I. Pirogov (Vestnik Nacionalnogo mediko-hirurgicheskogo Centra im. N.I. Pirogova). 2011;6(4):15–19. (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit79"><label>79</label><citation-alternatives><mixed-citation xml:lang="ru">Санадзе АГ. Критерии диагностики миастении. Болезни нервной системы: механизмы развития, диагностика и лечение. 2017:107–131.</mixed-citation><mixed-citation xml:lang="en">Sanadze AG. Criteria for the diagnosis of myasthenia gravis. Diseases of the nervous system: mechanisms of development, diagnosis and treatment (Bolezni nervnoj sistemy: mekhanizmy razvitiya, diagnostika i lechenie). 2017:107–131. (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit80"><label>80</label><citation-alternatives><mixed-citation xml:lang="ru">Farmakidis C, Pasnoor M, Dimachkie MM, Barohn RJ. Treatment of Myasthenia Gravis. Neurol Clin. 2018;36(2):311–337. https://doi.org/10.1016/j.ncl.2018.01.011</mixed-citation><mixed-citation xml:lang="en">Farmakidis C, Pasnoor M, Dimachkie MM, Barohn RJ. Treatment of Myasthenia Gravis. Neurol Clin. 2018;36(2):311–337. https://doi.org/10.1016/j.ncl.2018.01.011</mixed-citation></citation-alternatives></ref><ref id="cit81"><label>81</label><citation-alternatives><mixed-citation xml:lang="ru">Díaz-Manera J, Martínez-Hernández E, Querol L, Klooster R, Rojas- García R, Suárez-Calvet X et al. Long-lasting treatment eff ect of rituximab in MuSK myasthenia. Neurology. 2012;78(3):189–193. https://doi.org/10.1212/WNL.0b013e3182407982</mixed-citation><mixed-citation xml:lang="en">Díaz-Manera J, Martínez-Hernández E, Querol L, Klooster R, Rojas- García R, Suárez-Calvet X et al. Long-lasting treatment eff ect of rituximab in MuSK myasthenia. Neurology. 2012;78(3):189–193. https://doi.org/10.1212/WNL.0b013e3182407982</mixed-citation></citation-alternatives></ref><ref id="cit82"><label>82</label><citation-alternatives><mixed-citation xml:lang="ru">Di Stefano V, Lupica A, Rispoli MG, Di Muzio A, Brighina F, Rodolico C. Rituximab in AChR subtype of myasthenia gravis: systematic review. J Neurol Neurosurg Psychiatry. 2020;91(4):392–395. https://doi.org/10.1136/jnnp-2019-322606</mixed-citation><mixed-citation xml:lang="en">Di Stefano V, Lupica A, Rispoli MG, Di Muzio A, Brighina F, Rodolico C. Rituximab in AChR subtype of myasthenia gravis: systematic review. J Neurol Neurosurg Psychiatry. 2020;91(4):392–395. https://doi.org/10.1136/jnnp-2019-322606</mixed-citation></citation-alternatives></ref><ref id="cit83"><label>83</label><citation-alternatives><mixed-citation xml:lang="ru">Hain B, Jordan K, Deschauer M, Zierz S. Successful treatment of MuSK antibody-positive myasthenia gravis with rituximab. Muscle Nerve. 2006;33(4):575–580. https://doi.org/10.1002/mus.20479</mixed-citation><mixed-citation xml:lang="en">Hain B, Jordan K, Deschauer M, Zierz S. Successful treatment of MuSK antibody-positive myasthenia gravis with rituximab. Muscle Nerve. 2006;33(4):575–580. https://doi.org/10.1002/mus.20479</mixed-citation></citation-alternatives></ref><ref id="cit84"><label>84</label><citation-alternatives><mixed-citation xml:lang="ru">Щербакова НИ, Супонева НА, Шведков ВВ, Шабалина АА, Костырева МВ, Рудниченко ВА, Галкина ОИ. Российский опыт успешного применения ритуксимаба при рефрактерных формах миастении гравис. Нервно-мышечные болезни. 2015;5(3):50–61. https://doi.org/10.17650/2222-8721-2015-5-3-50-61</mixed-citation><mixed-citation xml:lang="en">Shcherbakova NI, Suponeva NA, Shvedkov VV, Shabalina AA, Kostyreva MV, Rudnichenko VA, Galkina OI. Russian experience of successful use of rituximab in refractory forms of myasthenia gravis. Neuromuscular diseases (Nervno-myshechnye bolezni). 2015;5(3):50–61. (In Russ.). https://doi.org/10.17650/2222-8721-2015-5-3-50-61</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
