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We report 3 cases of juvenile myasthenia in 2 girls and 1 boy, who at onset, were respectively 21 months, 13 yr and 4 and a half yr old. Clinical features were common but in 2 cases included acute respiratory failure leading to artificial ventilation. Thymectomy was performed in 1 girl with thymoma who presented a vitiligo 5 yr later.
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