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Although, it may affect any voluntary muscle, muscles that control the eye and eyelid movement, facial expression, and swallowing are the most common. The onset of the disorder may be sudden.
The symptoms are not often immediately recognized as myasthenia gravis. In most of the cases, the first noticeable symptom is weakness of the eye muscle. In others, difficulty in swallowing and slurred speech may be the first signs. The degree of muscle weakness varies greatly among the patients. Symptoms which vary in type and severity may include a drooping of one or both eyelids, blurred or double vision, waddling gait, weakness in arms, hands, fingers, legs, and neck, a change in facial expression, difficulty in swallowing and shortness of breath, and impaired speech...
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