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<Articles JournalTitle="Current Journal of Neurology">
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Current Journal of Neurology</JournalTitle>
      <Issn>2717-011X</Issn>
      <Volume>13</Volume>
      <Issue>1</Issue>
      <PubDate PubStatus="epublish">
        <Year>2014</Year>
        <Month>03</Month>
        <Day>15</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">Thymic pathological examination of non-thymomatous myasthenia gravis patients: A pilot study for prediction of outcome.</title>
    <FirstPage>40</FirstPage>
    <LastPage>44</LastPage>
    <AuthorList>
      <Author>
        <FirstName>Zeinab</FirstName>
        <LastName>Peimani</LastName>
        <affiliation locale="en_US">Student Research Comittee, Shiraz University of Medical Sciences, Shiraz, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Mohammad Amin</FirstName>
        <LastName>Banihashemi</LastName>
        <affiliation locale="en_US">Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Niloofar</FirstName>
        <LastName>Namazi</LastName>
        <affiliation locale="en_US">Student Research Comittee, Shiraz University of Medical Sciences, Shiraz, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Anahid</FirstName>
        <LastName>Safari</LastName>
        <affiliation locale="en_US">Department of Pharmacology, School of Medicine, Islamic Azad University, Kazeroon Branch, Kazeroon, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Ahmad</FirstName>
        <LastName>Monabati</LastName>
        <affiliation locale="en_US">Department of Pathology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Mehra</FirstName>
        <LastName>Mojallal</LastName>
        <affiliation locale="en_US">Department of Pathology, Dena Hospital, Shiraz, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Afshin</FirstName>
        <LastName>Borhani-Haghighi</LastName>
        <affiliation locale="en_US">Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran ; Department of Neurology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2015</Year>
        <Month>10</Month>
        <Day>14</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">Background:&#xA0; Myasthenia&#xA0; gravis (MG) is an&#xA0; autoimmune disorder&#xA0;&#xA0; characterized&#xA0;&#xA0; by&#xA0; weakness&#xA0;&#xA0; and&#xA0;&#xA0; fatigability&#xA0; of skeletal muscles. The aim of this study was to determine if pathological characteristics in non-thymomatous patients of MG would correlate with prognosis in a three year follow up.
Methods:&#xA0; Patients&#xA0; who&#xA0; had&#xA0; had&#xA0; their&#xA0; thymectomy&#xA0;&#xA0; at least&#xA0; three&#xA0; years prior to&#xA0; the&#xA0; study&#xA0; were&#xA0; selected&#xA0; from three&#xA0; hospitals&#xA0; and were followed for 3 years. Prognosis was assessed&#xA0; via a devised&#xA0; prognostic&#xA0; scoring system. A pathological&#xA0; exam of the specimen&#xA0; from the thymus was done&#xA0; using the following immunohistochemical markers: Bcl2, CD 3, CD 4, CD 5, CD 7, CD 10, CD 20cy, CD 23, CD 43, and Ki67.
Results: Fifteen patients&#xA0; fulfilled the inclusion criteria and had a complete&#xA0; follow-up. This included&#xA0; 3 males and 12 females with a mean age of 36.6 years at the start of the&#xA0; study. The dominant&#xA0; cell population was T lymphocytes. All T cells expressed&#xA0; CD 3, CD 43, CD 5, and&#xA0; Bcl-2. In&#xA0; 2 patient , CD 10 marker was positive in T cells. B cells were negative for activation marker CD 23, except for germinal center&#xA0;&#xA0; dendritic&#xA0;&#xA0; cells.&#xA0; Due&#xA0; to&#xA0; the&#xA0; limited&#xA0; number&#xA0;&#xA0; of patients&#xA0; in the study, the power of the study would not allow for an analysis to assess correlation between histopathological data and prognosis.
Conclusion: This pilot study was an attempt to discover any prognostic indices from the histopathological examination&#xA0; of the resected&#xA0; thymic tissue in the patients with myasthenia gravis.</abstract>
    <web_url>https://ijnl.tums.ac.ir/index.php/ijnl/article/view/626</web_url>
    <pdf_url>https://ijnl.tums.ac.ir/index.php/ijnl/article/download/626/176</pdf_url>
  </Article>
</Articles>
