Steroids always carry the risk for side-effects and these need to be explained to each patient and weighed against co-morbidities to determine if they are in fact reasonably indicated in a particular instance. Nevertheless, steroids should be first-line agents for elderly MG patients as a significan...

I agree with Dr. @Baker. When managing very late onset MG, I typically start with pyridostigmine followed by steroid ( prefer low starting dosage and titrate up based on response and tolerance, then taper once patient shows improvement). If patient failed steroid plus pyridostigmine, I typically use...