Figure 2: Clinical course and therapeutic process (before DFPP): This figure summarizes the approximately 10 years from onset of MG until the introduction of DFPP. The transitions of main clinical symptoms and administered drugs are shown in detail. About one year after onset, drug administration for MG (pyridostigmine 60 mg/day) was started in March, 9 years before this admission. Thymectomy was performed in November of the same year.