Dysphagia as first symptom of myasthenia gravis

: We present a case story of a 70-year-old female, who went through several examinations, multiple paraclinical investigations and lost 15 kg in bodyweight over a six month period, before the diagnosis myasthenia gravis (MG) was made. Dysphagia was from the early phase her most prominent and persistent complaint. However, other symptoms, thought to be allergic reactions, made the diagnosis difficult. The patient's symptoms are discussed. Most of these are consistent with MG, but on the other hand rare at the beginning of the disease. This report is a reminder that MG may present as dysphagia, addressed in particular to otolaryngologists and gastrosurgeons.