DOK7 myasthenic syndrome with subacute adult-onset during pregnancy and partial response to fluoxetine

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• DOK7 congenital myasthenic syndrome (CMS) presenting in a 39-year old woman• The disease presented during pregnancy and was first diagnosed as myasthenia gravis• Consider CMS before adult-onset generalized seronegative myasthenic syndromes• Worsening muscle weakness under anticholinesterase inhibitors• Novel report of a clear beneficial effect of Fluoxetine in DOK7-CMS

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