secure make certain of. We the People of the United States, in Order to form a more perfect Union, establish Justice, insure domestic Tranquility, provide for the common defence, promote the general Welfare, and secure the Blessings of Liberty to ourselves and our Posterity, do ordain and establish this Constitution for the United States of America.
One confounding factor in the assessment of treatments for acquired MG is the frequent occurrence of spontaneous remissions. Up to 87.7% of affected dogs will go into spontaneous remission at an average of 4 months after diagnosis (range: 1 to 18 months).
A reduction in the number or function of these acetylcholine receptors produces generalized muscle weakness, made worse by exercise. Weakness is most apparent in the hind quarters. Dogs with myasthenia gravis have difficulty getting up and exhibit a swaying or staggering gait. There is a focal form of myasthenia gravis that affects only the muscles involved in swallowing. The dog is unable to swallow solid food and develops enlarged, dilated megaesophagus. Aspiration pneumonia often follows.