Myasthenia Gravis/Autoimmune Disorders and Autism/AS
Hi - Hope everyone is doing okay here. I've been home educating our youngest son(autism) for the last 9 years and that's going very well. We've been spending time in both Connecticut and England, and every so often I stop and think how fortunate we are that our children(despite all being on the spectrum) are doing so well.
Our daughter is 25 now and has been working with autistic children at a day/residential school just outside of London with children who have severe behavioural challenges. She has needed hospital treatment a few times in the early days of working with some of the more extreme children. She has a very gentle, calm nature and some of the children are particularly attached to her, and she is well liked by staff.
However, her health has deteriorated very swiftly in the past 2 weeks. She has collapsed twice and the Deputy Head has driven her home to me. She is exhausted from eating, very 'jelly-like'/wobbly on her feet, requires alot of rest, has issues with arms, legs, face(she loses the ability to speak, to smile) at times. She has had a blood test which came up fine(I had initially thought she's very chronic fatigue-like and has been for a long time.) Doctors seem to dismiss this in the teen years and merely recommend vitamins without further investigation. We are awaiting an appointment date with a neurologist currently.
My tummy's twisted in knots over this, watching her very swift deterioration. My husband works away throughout the week, so I feel a tad isolated with this. Has anyone here any experience of this in their own children/families at all? It's not said to be hereditary and is very rare. Auto-immune disorders seem to be quite common in families where autism is present. Our son is 27 now and also trying to figure out what's going on with his system(he is living and working in London). He cannot put on weight(way too thin, slower than normal heart rate), though he has a tonne of energy and is a workaholic in his field. He is starting to worry over various health issues now though.
Can anyone relate?
Thanks for reading.
xx
My mom is entirely NT, but she is related to my kids and she has a chronic neurological condition that appears to have a strong auto-immune component. No one has been able to diagnose her with 100% clarity, but currently her doctor says she has "Chronic Fatigue that looks a lot like MS." She does have what could be areas of sclerosis in her brain, but they haven't changed in many years, so they say it can't be MS, but her symptoms expand beyond what one would see in CFS.
I don't know if her situation has anything to do with my kids, but over the years I have come across many people with strong histories of ASD and autoimmune issues.
Can you tell me what blood test she had? There are numerous that she potentially should have had. I am not a doctor, but I am my mother's daughter and know a lot about what has been done with her. Do you think it is the fact that it has only been 2 weeks that is making them not respond adquately?
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Mom to 2 exceptional atypical kids
Long BAP lineage
Thanks for your reply InThisTogether. I understand that there are many people who are unable to get that definitive diagnosis. Hope your mother's doing okay. It's early days for us, and I know it can be a long road for some in getting a diagnosis. I've read some background stories about getting a diagnosis from those with MS and MG(some are nightmarish). The blood test my daughter had involved ruling out thyroid, chronic fatigue syndrome and was hopefully going to pinpoint any auto-immune issues. I have read of others with myasthenia gravis having their blood work come up fine(with the Doc). An elevated concentration of AChR antibodies confirms a clinical diagnosis of MG, but a normal or negative result does not exclude the diagnosis. Though blood tests can be performed to help in the diagnosis of MG, this is not a routine blood test that a general practitioner would necessarily do, and is not ordered as part of a routine blood screen or during a routine medical. When we saw the Doc, at that stage, we hadn't read about MG. As more and more severe symptoms have rapidly developed, we've read up on MS and MG and discovered there are quite a few crossovers, but our thoughts in regard symptoms, lead more toward MG.
From what I've read, when we see the neurologist, we should expect a neural exam, a spinal tap, a Tensilon test and her clinical history should shed some light hopefully on what's going on. This a good/helpful website: http://www.myasthenia.org.au/default.htm.
My sister in Australia(HFA) was diagnosed with chronic fatigue quite some years ago, but is doing very well now.
It's amazing how quickly and suddenly my daughter has deteriorated. If breathing and eating become much worse, I shall dash her off to the hospital.
I had hyperemesis gravidarum(very severe morning sickness - right up to the births) in all three pregnancies, requiring hospitalisation and throughout, I always thought it would be quite a miracle should nothing at all be amiss at some point in their lives.
Thanks again. xx
I had severe morning sickness too. Then terrible fatige and supressed immunity after my second child (now 4). I had blood tests before during and after pregnancy that were all 'normal'. Then just last year an expert finally caught my bloodwork and diagnosed me as hypothyroid. He thinks I had subclinical thyroid issues all along. Drs just didn't diagnose me because levels weren't 'off' enough. Be diligent and find a new dr if you need to.
We have had a swift diagnosis of Myasthenia Gravis in the past week. Our research was what helped in a speedy diagnosis thankfully. Others have a difficult time of it being taken seriously, some have even been committed, being told they're imagining their symptoms. My daughter has been ordered to stop work, for at least 2-3 months in order to attempt to stabilise. They have placed her on 5 different meds, including steroids. 30 years ago, survival wasn't much of an option. At least today, there is hope. She is pretty severe. Over time, I will put together some information for others going through the same, on my blog. Thanks. xx
Thanks angelgarden. Sorry I was unable to respond to your comments on thyroid, morning sickness etc, it's been a little overwhelming here. I'm so glad that you managed to eventually get to the bottom of your own health issues and hope you are feeling alot better now. I had a friend diagnosed with Grave's, and a cousin with thryroid issues. I researched that for them upon request and it became another for the blog. I'm sorry that you too suffered from hyperemesis - no-one told me what/why this was happening to me, I felt like death itself, in fact, I didn't expect that I or my child would live. I was unable to speak throughout as it was so severe(could not even keep water down). I had to learn for myself that this 'extreme form of morning sickness' had a name and that others have aborted(something I would never have considered). I included an article and some links for that too under the "Women's" section on my blog. I hope you are enjoying your children and life is much kinder to you now, having gone through such a thing. My heart truly goes out to you.
My blog link is: http://www.aspie-editorial.com/http://www.aspie-editorial.com/
Re the Myasthenia and what to look out for as parents: The most notable symptom was extreme fatigue, as a teen. Nothing prior in my daughter's case, but there was a 7 year old boy with it, who sadly died. He did not respond to treatment. My daughter would sleep after I'd drive her home from secondary school, in the afternoons. Having been an AS teen myself, I was very much the opposite - I had and still have an abundance of energy, was into gymnastics, swimming, long distance runnning, sailing and more. Dealing with people did and does create a need to recharge the batteries, but not to the extent, she was experiencing. It never affected her schoolwork as she was very hardworking and a high achiever. Doctors never took her fatigue seriously though. Her boyfriend, a very athletic aspie, would take her out jogging and to martial arts, and she'd be overly exhausted afterward. She has always eaten well, never been overweight, nor underweight until her weight started to drop with the stress of the job, and what we now know was the MG, laying dormant. She has always been tall and slim(about to change with the steroids from what I understand). I'd ensure she had homemade milkshakes in an effort to boost her weight each afternoon and her nutrition was very good.
Stress, anxiety and/or physical exertion is the thing that brings about 'myasthenic crisis' in someone with MG where it may be laying dormant or 'in remission', which causes breathing difficulty and the very real possibility of needing mechanical respiration. You have to listen to your body and learn your limit. I believe it was the stress of having to confront a male staff member on more than one occasion of their seriously inappropriate treatment of several autistic children which brought it all to the fore. It would have reared its head at some point, sooner or later. She was exemplary in dealing with and educating this particular member of staff, but the effects were catastrophic - she began having panic attacks at the end of the school day, as well as severe headaches, difficulty with sleep.
So many of her symptoms could so easily be attributed to natural autistic/AS reaction to stressful situations. Her outlook though, has always been the same as mine - very positive, glass half full type of outlook.
Personality-wise, she was and is a dream daughter. She's never given us a day's worry. Very sweet, gifted musically, great with languages, has a degree in psychology and is very talented artistically. She was never into sports, had difficulty with swimming lessons both in and outside of school - she would admit to being of a more clumsy physical nature.
Until more specific and worrying symptoms develop, there is little a doctor will do for a fatigued teen, other than the usual blood tests, which for us were of no help. I had to take her to more than one doctor to express my serious concern recently, and to be an undiagnosed myasthenic is very dangerous. It can mean the difference between life and death.
The symptoms of MG can come upon you very quickly and can go into remission fairly quickly too, with lots of rest. I have faith that if a parent is aware that their child has collapsed, if it's 'Ocular MG', the eyes are affected by double vision, there is a 'drugged look' to the eye/s, if it's 'Generalised MG', meaning the whole body is affected as in my daughter's case, has notable weight loss, has trouble with their face and neck(loses ability to smile, has difficulty eating/swallowing, breathing, finds that temperatures - eg. a warm bath is no longer an option as heat/warmth create exhaustion and exacerbate symptoms), then that parent will insist on being taken seriously, even if it takes seeing more than one doctor. There is no cure, but removing the thalamus(an open heart 4 hr op) may alleviate symptoms - keyhole would be preferable. It may also exacerbate it, but the odds are better for alleviation. The meds for this mean that the immune system is seriously at risk. That is, if the person with MG develops so much as a cold, slight flu, they need antibiotics asap. They go down health-wise very quickly, and can wind up with pneumonia and may wind up 'in crisis'.
Right now, we're hoping our daughter will respond to treatment. We have yet to learn whether the thalamus itself is cancerous, something looked at in all diagnosed with this. We have 3 different hospitals to visit, as each has different equipment that's necessary in the early stages of dealing with it.
There are other cases of this within the autism community, though it's rare thankfully. I'm discovering quite a few people with MG who are neurologically different. Every case is different, responses to treatment will be different. It's about finding a little joy in each day wherever you can, staying positive and maintaining a sense of humour wherever possible. There will be good days and there will be bad days.
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