Relation Between Myasthenia Gravis and Exophthalmic Goiter

Since Graves¹and Basedow²first described the disease bearing their names and Wilks³and Erb⁴first described cases of myasthenia gravis under the captions of bulbar paralysis and bulbar symptom complex, several descriptions of cases presenting the signs and symptoms of both these diseases have appeared in the literature. Such a remarkable group of cases with the symptoms and signs of these apparently distinct diseases warrants an analysis with a view toward determining whether or not any definite relationship exists. It is thought that any case of this kind should be reported, with such comments and conclusions as may be justified toward establishing or negating any such relationship. REPORT OF A CASE History. —A married Jewish housewife, 49 years of age, was first seen by Dr. S. G. Schenck in April, 1929. For one year she had complained of nervousness and profuse perspiration, and for several