{
  "abstract": "Juvenile autoimmune myasthenia gravis (JAMG) is uncommon in children and extremely rare in infants. The condition is frequently recognised late since it mimics congenital and neuromuscular disorders. We report a case of a toddler presenting with fluctuating bilateral ptosis that worsened in the evening. The bedside ice pack test was positive, and serum acetylcholine receptor antibodies confirmed the diagnosis. A chest CT scan revealed no abnormalities in the thymus. The child showed a good response to anticholinesterase treatment. This case emphasises the significance of recognising fatigable ptosis and employing simple bedside assessments for the early diagnosis of juvenile autoimmune myasthenia gravis.",
  "authors": [
    {
      "affiliations": [
        "Zion Hospital and Research Centre, Dimapur, India"
      ],
      "name": "Akumtoshi Pongen"
    }
  ],
  "title": "Juvenile autoimmune myasthenia gravis: diagnostic utility of diurnal ptosis and the ice pack test",
  "uid": "8f3cdb6c-948b-51bb-a6ca-e4aab1a9d8ea"
}