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The anti-AChR antibodies are found in about 80% of Myasthenia Gravis patients. This means that there is a large chunk of patients who are sero-negative.
The Muscle specific Tyrosine kinase (MuSK) antibodies are present in a significant number of the seronegative MG. Hence, this antibody test is done to confirm a seronegative MG.
You could have a positive Anti-AchR antibody result and negative anti-MuSK antibodies.
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