Which specialist should MG patients be referred to for management?

Which specialist should MG patients be referred to for management?

• A. Neurologist
• B. Cardiologist
• C. Ophthalmologist
• D. Endocrinologist

Answer: (A)

MG is a disorder of the neuromuscular junction that requires systemic assessment and treatment, including monitoring for respiratory weakness and initiating therapies such as acetylcholinesterase inhibitors, immunosuppressants, and, when indicated, plasmapheresis or thymectomy. Because these aspects fall under neuromuscular care, a neurologist is the best clinician to coordinate diagnosis, long-term management, and crisis prevention for MG. An ophthalmologist can address ocular symptoms like ptosis or diplopia, but the overall management of the systemic disease is led by neurology. The other specialties focus on different organ systems and aren’t primary managers of MG.

MG is a disorder of the neuromuscular junction that requires systemic assessment and treatment, including monitoring for respiratory weakness and initiating therapies such as acetylcholinesterase inhibitors, immunosuppressants, and, when indicated, plasmapheresis or thymectomy. Because these aspects fall under neuromuscular care, a neurologist is the best clinician to coordinate diagnosis, long-term management, and crisis prevention for MG. An ophthalmologist can address ocular symptoms like ptosis or diplopia, but the overall management of the systemic disease is led by neurology. The other specialties focus on different organ systems and aren’t primary managers of MG.