{"id":"https://openalex.org/W7212949193","doi":"https://doi.org/10.2169/internalmedicine.7438-26","title":"Prevalence and Clinical Impact of Abnormal Glucose Metabolism in Immunotherapy-na\u00efve Myasthenia Gravis","display_name":"Prevalence and Clinical Impact of Abnormal Glucose Metabolism in Immunotherapy-na\u00efve Myasthenia Gravis","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7212949193","doi":"https://doi.org/10.2169/internalmedicine.7438-26","pmid":"https://pubmed.ncbi.nlm.nih.gov/42749642"},"language":"en","primary_location":{"id":"doi:10.2169/internalmedicine.7438-26","doi":"https://doi.org/10.2169/internalmedicine.7438-26","is_oa":true,"landing_page_url":"https://doi.org/10.2169/internalmedicine.7438-26","pdf_url":"https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7438-26/_pdf","source":{"id":"https://openalex.org/S154471048","display_name":"Internal Medicine","issn_l":"0918-2918","issn":["0918-2918","1349-7235"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310313351","host_organization_name":"The Japanese Society of Internal Medicine","host_organization_lineage":["https://openalex.org/P4310313351"],"host_organization_lineage_names":["The Japanese Society of Internal Medicine"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Internal Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7438-26/_pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5023324075","display_name":"Manato Yasuda","orcid":"https://orcid.org/0000-0002-2876-3857","observed_orcids":["https://orcid.org/0000-0002-2876-3857"]},"institutions":[{"id":"https://openalex.org/I159385669","display_name":"Chiba University","ror":"https://ror.org/01hjzeq58","country_code":"JP","type":"education","lineage":["https://openalex.org/I159385669"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Manato Yasuda","raw_affiliation_strings":["Department of Neurology, Graduate School of Medicine, Chiba University, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, Graduate School of Medicine, Chiba University, Japan","institution_ids":["https://openalex.org/I159385669"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002699893","display_name":"Akiyuki Uzawa","orcid":"https://orcid.org/0000-0001-9252-1863","observed_orcids":["https://orcid.org/0000-0001-9252-1863"]},"institutions":[{"id":"https://openalex.org/I159385669","display_name":"Chiba University","ror":"https://ror.org/01hjzeq58","country_code":"JP","type":"education","lineage":["https://openalex.org/I159385669"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Akiyuki Uzawa","raw_affiliation_strings":["Department of Neurology, Graduate School of Medicine, Chiba University, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, Graduate School of Medicine, Chiba University, Japan","institution_ids":["https://openalex.org/I159385669"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022579226","display_name":"Yosuke Onishi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I159385669","display_name":"Chiba University","ror":"https://ror.org/01hjzeq58","country_code":"JP","type":"education","lineage":["https://openalex.org/I159385669"]},{"id":"https://openalex.org/I4405282692","display_name":"National Hospital Organization Chiba Medical Center","ror":"https://ror.org/00addp282","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210137409","https://openalex.org/I4405282692"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yosuke Onishi","raw_affiliation_strings":["Department of Neurology, Graduate School of Medicine, Chiba University, Japan","Department of Neurology, NHO Chiba Medical Center, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, Graduate School of Medicine, Chiba University, Japan","institution_ids":["https://openalex.org/I159385669"]},{"raw_affiliation_string":"Department of Neurology, NHO Chiba Medical Center, Japan","institution_ids":["https://openalex.org/I4405282692"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017144353","display_name":"Hiroyuki Akamine","orcid":"https://orcid.org/0000-0002-4041-1635","observed_orcids":["https://orcid.org/0000-0002-4041-1635"]},"institutions":[{"id":"https://openalex.org/I159385669","display_name":"Chiba University","ror":"https://ror.org/01hjzeq58","country_code":"JP","type":"education","lineage":["https://openalex.org/I159385669"]},{"id":"https://openalex.org/I32915989","display_name":"University of the Ryukyus","ror":"https://ror.org/02z1n9q24","country_code":"JP","type":"education","lineage":["https://openalex.org/I32915989"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hiroyuki Akamine","raw_affiliation_strings":["Department of Cardiovascular Medicine, Nephrology and Neurology, Graduate School of Medicine, University of the Ryukyus, Japan","Department of Neurology, Graduate School of Medicine, Chiba University, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiovascular Medicine, Nephrology and Neurology, Graduate School of Medicine, University of the Ryukyus, Japan","institution_ids":["https://openalex.org/I32915989"]},{"raw_affiliation_string":"Department of Neurology, Graduate School of Medicine, Chiba University, Japan","institution_ids":["https://openalex.org/I159385669"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093917623","display_name":"Etsuko Ogaya","orcid":"https://orcid.org/0009-0008-2716-6664","observed_orcids":["https://orcid.org/0009-0008-2716-6664"]},"institutions":[{"id":"https://openalex.org/I159385669","display_name":"Chiba University","ror":"https://ror.org/01hjzeq58","country_code":"JP","type":"education","lineage":["https://openalex.org/I159385669"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Etsuko Ogaya","raw_affiliation_strings":["Department of Neurology, Graduate School of Medicine, Chiba University, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, Graduate School of Medicine, Chiba University, Japan","institution_ids":["https://openalex.org/I159385669"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038585073","display_name":"Hideo Handa","orcid":"https://orcid.org/0000-0002-0787-4486","observed_orcids":["https://orcid.org/0000-0002-0787-4486"]},"institutions":[{"id":"https://openalex.org/I159385669","display_name":"Chiba University","ror":"https://ror.org/01hjzeq58","country_code":"JP","type":"education","lineage":["https://openalex.org/I159385669"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hideo Handa","raw_affiliation_strings":["Department of Neurology, Graduate School of Medicine, Chiba University, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, Graduate School of Medicine, Chiba University, Japan","institution_ids":["https://openalex.org/I159385669"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058684271","display_name":"Yukiko Ozawa","orcid":"https://orcid.org/0000-0002-2586-6949","observed_orcids":["https://orcid.org/0000-0002-2586-6949"]},"institutions":[{"id":"https://openalex.org/I159385669","display_name":"Chiba University","ror":"https://ror.org/01hjzeq58","country_code":"JP","type":"education","lineage":["https://openalex.org/I159385669"]},{"id":"https://openalex.org/I4210139339","display_name":"Japanese Red Cross Narita Hospital","ror":"https://ror.org/04prxcf74","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210139339"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yukiko Ozawa","raw_affiliation_strings":["Department of Neurology, Graduate School of Medicine, Chiba University, Japan","Department of Neurology, Japanese Red Cross Narita Hospital, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, Graduate School of Medicine, Chiba University, Japan","institution_ids":["https://openalex.org/I159385669"]},{"raw_affiliation_string":"Department of Neurology, Japanese Red Cross Narita Hospital, Japan","institution_ids":["https://openalex.org/I4210139339"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5009588500","display_name":"Satoshi Kuwabara","orcid":"https://orcid.org/0000-0002-4716-8578","observed_orcids":["https://orcid.org/0000-0002-4716-8578"]},"institutions":[{"id":"https://openalex.org/I159385669","display_name":"Chiba University","ror":"https://ror.org/01hjzeq58","country_code":"JP","type":"education","lineage":["https://openalex.org/I159385669"]},{"id":"https://openalex.org/I4405286245","display_name":"Research Institute of Disaster Medicine, Chiba University","ror":"https://ror.org/01kenga12","country_code":"JP","type":"facility","lineage":["https://openalex.org/I159385669","https://openalex.org/I4405286245"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Satoshi Kuwabara","raw_affiliation_strings":["Department of Neurology, Graduate School of Medicine, Chiba University, Japan","Research Institute of Disaster Medicine, Chiba University, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, Graduate School of Medicine, Chiba University, Japan","institution_ids":["https://openalex.org/I159385669"]},{"raw_affiliation_string":"Research Institute of Disaster Medicine, Chiba University, Japan","institution_ids":["https://openalex.org/I159385669","https://openalex.org/I4405286245"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.65177641,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11271","display_name":"Myasthenia Gravis and Thymoma","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11271","display_name":"Myasthenia Gravis and Thymoma","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11724","display_name":"Inflammatory Myopathies and Dermatomyositis","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11538","display_name":"Ophthalmology and Eye Disorders","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/myasthenia-gravis","display_name":"myasthenia gravis","score":1.0},{"id":"https://openalex.org/keywords/abnormal-glucose-metabolism","display_name":"abnormal glucose metabolism","score":0.9739999771118164},{"id":"https://openalex.org/keywords/diabetes-mellitus","display_name":"diabetes mellitus","score":0.9660000205039978},{"id":"https://openalex.org/keywords/hba1c","display_name":"HbA1c","score":0.8289999961853027},{"id":"https://openalex.org/keywords/late-onset-myasthenia-gravis","display_name":"late-onset myasthenia gravis","score":0.9229999780654907},{"id":"https://openalex.org/keywords/generalized-myasthenia-gravis","display_name":"generalized myasthenia gravis","score":0.9369999766349792},{"id":"https://openalex.org/keywords/immunotherapy-naive-patients","display_name":"immunotherapy-naive patients","score":0.8240000009536743},{"id":"https://openalex.org/keywords/prednisolone-dose","display_name":"prednisolone dose","score":0.9179999828338623},{"id":"https://openalex.org/keywords/steroid-dependence","display_name":"steroid dependence","score":0.7590000033378601},{"id":"https://openalex.org/keywords/clinical-outcomes","display_name":"clinical outcomes","score":0.4650000035762787}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9611999988555908},{"id":"https://openalex.org/C2778105408","wikidata":"https://www.wikidata.org/wiki/Q8285","display_name":"Myasthenia gravis","level":2,"score":0.823199987411499},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5020999908447266},{"id":"https://openalex.org/C17093226","wikidata":"https://www.wikidata.org/wiki/Q2734081","display_name":"Carbohydrate metabolism","level":2,"score":0.5012000203132629},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.43380001187324524},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.3368000090122223},{"id":"https://openalex.org/C62231903","wikidata":"https://www.wikidata.org/wiki/Q1057","display_name":"Metabolism","level":2,"score":0.32710000872612},{"id":"https://openalex.org/C203014093","wikidata":"https://www.wikidata.org/wiki/Q101929","display_name":"Immunology","level":1,"score":0.30329999327659607},{"id":"https://openalex.org/C42407357","wikidata":"https://www.wikidata.org/wiki/Q521","display_name":"Physiology","level":1,"score":0.29159998893737793},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.27559998631477356},{"id":"https://openalex.org/C2780648854","wikidata":"https://www.wikidata.org/wiki/Q2745824","display_name":"Immunopathology","level":2,"score":0.2734000086784363},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.25679999589920044},{"id":"https://openalex.org/C2986379492","wikidata":"https://www.wikidata.org/wiki/Q1638492","display_name":"Continuous glucose monitoring","level":4,"score":0.25130000710487366}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.2169/internalmedicine.7438-26","doi":"https://doi.org/10.2169/internalmedicine.7438-26","is_oa":true,"landing_page_url":"https://doi.org/10.2169/internalmedicine.7438-26","pdf_url":"https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7438-26/_pdf","source":{"id":"https://openalex.org/S154471048","display_name":"Internal Medicine","issn_l":"0918-2918","issn":["0918-2918","1349-7235"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310313351","host_organization_name":"The Japanese Society of Internal Medicine","host_organization_lineage":["https://openalex.org/P4310313351"],"host_organization_lineage_names":["The Japanese Society of Internal Medicine"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Internal Medicine","raw_type":"journal-article"},{"id":"pmid:42749642","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42749642","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Internal medicine (Tokyo, Japan)","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.2169/internalmedicine.7438-26","doi":"https://doi.org/10.2169/internalmedicine.7438-26","is_oa":true,"landing_page_url":"https://doi.org/10.2169/internalmedicine.7438-26","pdf_url":"https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7438-26/_pdf","source":{"id":"https://openalex.org/S154471048","display_name":"Internal Medicine","issn_l":"0918-2918","issn":["0918-2918","1349-7235"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310313351","host_organization_name":"The Japanese Society of Internal Medicine","host_organization_lineage":["https://openalex.org/P4310313351"],"host_organization_lineage_names":["The Japanese Society of Internal Medicine"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Internal Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G6515185648","display_name":"\u795e\u7d4c\u514d\u75ab\u75be\u60a3\u9818\u57df\u306b\u304a\u3051\u308b\u96e3\u75c5\u306e\u533b\u7642\u6c34\u6e96\u3068\u60a3\u8005\u306eQOL\u5411\u4e0a\u306b\u8cc7\u3059\u308b\u7814\u7a76","funder_award_id":"23FC1009","funder_id":"https://openalex.org/F4320321945","funder_display_name":"Ministry of Health, Labour and Welfare"}],"funders":[{"id":"https://openalex.org/F4320321945","display_name":"Ministry of Health, Labour and Welfare","ror":"https://ror.org/03mwa7s65"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7212949193.pdf","grobid_xml":"https://content.openalex.org/works/W7212949193.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2796440588","https://openalex.org/W4306739627","https://openalex.org/W3209594800","https://openalex.org/W3019714770","https://openalex.org/W1988056426","https://openalex.org/W7166550503","https://openalex.org/W4411278179","https://openalex.org/W1997001500","https://openalex.org/W2554895256","https://openalex.org/W4328048904"],"abstract_inverted_index":{"Objective":[0],"Although":[1],"experimental":[2],"studies":[3],"suggest":[4],"that":[5,65,111],"diabetes":[6],"mellitus":[7],"(DM)":[8],"exacerbates":[9],"immune":[10],"dysregulation":[11],"in":[12,34,118,266,269],"myasthenia":[13],"gravis":[14],"(MG),":[15],"its":[16],"precise":[17],"impact":[18,262],"on":[19],"clinical":[20,251,275],"outcomes":[21,73],"remains":[22],"unclear.":[23],"Therefore,":[24],"we":[25],"investigated":[26],"the":[27,67,113,131,141,172,250],"influence":[28],"of":[29,58,66,112,151,182,253],"pre-existing":[30],"glucose":[31,40,59,107,143,174,245],"metabolism":[32,41,60,144,175,246],"abnormalities":[33,61],"immunotherapy-na\u00efve":[35,89],"patients":[36,77,91,103,271],"with":[37,64,78],"MG.Methods":[38],"Abnormal":[39,244],"was":[42,62,122,263],"defined":[43],"as":[44],"receiving":[45],"DM":[46],"treatment":[47],"or":[48,83],"a":[49],"glycated":[50],"hemoglobin":[51],"A1c":[52],"level":[53],"\u2265":[54,135],"6.0%.":[55],"The":[56,116],"prevalence":[57,117],"compared":[63],"general":[68,114,132],"Japanese":[69],"population,":[70],"and":[71,79,100,212,231,277],"MG":[72,90,120,149,180],"were":[74],"assessed":[75],"between":[76,98],"without":[80],"these":[81],"abnormalities.Patients":[82],"Materials":[84],"We":[85],"retrospectively":[86],"studied":[87],"108":[88],"initially":[92],"presenting":[93],"to":[94,110],"Chiba":[95],"University":[96],"Hospital":[97],"2016":[99],"2020.Results":[101],"Twenty-eight":[102],"(25.9%)":[104],"had":[105,146],"abnormal":[106,142,173],"metabolism,":[108],"similar":[109],"population.":[115],"late-onset":[119],"(LOMG)":[121],"37.3%,":[123],"which":[124,270],"also":[125],"showed":[126,177,272],"no":[127],"significant":[128],"difference":[129],"from":[130],"population":[133],"aged":[134],"50":[136],"years":[137],"(34.2%).":[138],"In":[139,169,255],"LOMG,":[140,171],"group":[145,176],"significantly":[147,178],"higher":[148,179,198,214,279],"Activities":[150],"Daily":[152],"Living":[153],"(MG-ADL)":[154],"scores":[155,200],"at":[156,185,201,232],"1-year":[157,202,233],"follow-up":[158,203,234],"(median":[159],"[range]:":[160],"1":[161,189,220],"[0-5]":[162,205],"vs.":[163,193,206,224,237],"0":[164,207],"[0-3],":[165],"p":[166,196,209,228,241],"=":[167,210,229,242],"0.017).":[168],"generalized":[170,267],"Foundation":[181],"America":[183],"classes":[184],"peak":[186],"severity":[187],"within":[188,219],"year":[190,221],"(3":[191],"[2-5]":[192],"2":[194],"[2-4],":[195],"\uff1c0.001),":[197],"MG-ADL":[199],"(1":[204],"[0-2],":[208],"0.027),":[211],"required":[213,278],"maximum":[215],"daily":[216],"prednisolone":[217],"doses":[218],"(30.0":[222],"[0-50.0]":[223,226],"10.0":[225],"mg,":[227,240],"0.026)":[230],"(9.0":[235],"[0-20.0]":[236],"3.8":[238],"[0-10.0]":[239],"0.029).Conclusion":[243],"may":[247],"negatively":[248],"affect":[249],"course":[252],"MG.":[254],"our":[256],"evaluable":[257],"LOMG":[258],"cohort,":[259],"this":[260],"negative":[261],"most":[264],"prominent":[265],"cases,":[268],"less":[273],"satisfactory":[274],"improvement":[276],"corticosteroid":[280],"doses.":[281]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-09-15T00:00:00"}