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Table 3 Features of MG clinical improvement in new-onset MG patients after COVID-19 outbreak

From: The characteristics of new-onset myasthenia gravis after COVID-19 outbreak: a cross-sectional study

Variables

MG Clinical Improvement

P value

 

NO (n = 71)

YES (n = 123)

 

Gender, female, n (%)

33 (46.48)

72 (58.54)

0.104

BMI (mean ± SD)

22.01 ± 3.61

22.64 ± 3.83

0.511

Smoking, n (%)

14 (19.72)

16 (13.01)

0.213

Vaccination, ≥ 1, n (%)

64 (90.14)

107 (86.99)

0.513

Infection rate, n (%)

68 (95.77)

117 (95.12)

0.835

Age at onset (y), median (IQR)

49 (35, 60)

36 (20, 52)

0.001*

MG duration (w), median (IQR)

14 (6, 32)

15 (5, 32)

0.969

Season of onset, Winter and Spring, n (%)

40 (56.34)

68 (55.28)

0.887

MGFA,

  

0.002*

 < III, n (%)

64 (90.14)

87 (70.73)

 

 ≥ III, n (%)

7 (9.86)

36 (29.27)

 

Clinical phenotype

  

0.019*

 Ocular, n (%)

47 (66.20)

60 (48.78)

 

 Generalized, n (%)

24 (33.80)

63 (51.22)

 

Affect bulbar or respiratory muscles, n (%)

8 (11.26)

37 (30.08)

0.003*

Affect limb muscles, n (%)

16 (22.54)

26 (21.14)

0.820

Antibody status (missed 3)

  

0.220

 AChRab +, n (%)

50 (72.46)

87 (71.31)

 

 MuSKab +, n (%)

3 (4.35)

13 (10.66)

 

 Seronegative, n (%)

13 (18.84)

19 (15.57)

 

Abnormal thymus (missed 1), n (%)

27 (38.57)

42 (34.15)

0.380

RNS + (missed 13), n (%)

30 (44.78)

58 (50.88)

0.428

MG treatment

   

 Pyridostigmine, n (%)

65 (91.55)

122 (99.19)

0.019*

 Prednisolone, n (%)

47 (66.20)

89 (72.36)

0.367

 Immunosuppressants, n (%)

9 (12.68)

38 (30.89)

0.004*

 AZA, n (%)

1 (1.41)

5 (4.07)

0.549

 MMF, n (%)

2 (2.82)

8 (6.50)

0.434

Tacrolimus, n (%)

6 (8.45)

25 (20.33)

0.030*

Baseline MG-ADL, median (IQR)

3 (3, 3)

5 (3, 6)

 < 0.001*

  1. Note: *P-value < 0.05 is significant. Seronegative MG indicates that all five antibodies are negative
  2. Abbreviations: MG myasthenia gravis, COVID-19 Coronavirus disease 2019, IQR Interquartile range, SD Standard Deviation, BMI Body mass index, MGFA Myasthenia Gravis Foundation of America, AChRab + Anti-acetylcholine receptor antibody positive, MuSKab + Anti-muscle-specific tyrosine kinase positive, RNS + Repetitive nerve stimulation positive, AZA Azathioprine, MMF Mycophenolate mofetil, MG-ADL MG activities of daily living profile, QMGS Quantitative MG Score