How do you adjust chronic outpatient steroid therapy when myasthenia gravis patients are admitted for crisis?

1.) It is important to figure out what triggered the crisis. If it was triggered by a recent, active infection (especially bacterial), it is not a good idea to increase the steroid dose. I would actually attempt to taper the prednisone slowly after IVIG or PLEX is initiated for treatment of the MG crisis.

2.) If the crisis was NOT triggered by recent active infection, then increasing the steroid dose is appropriate, not so much to address the crisis (oral steroids take weeks to work), but rather...