000275968 001__ 275968 000275968 005__ 20250126000534.0 000275968 0247_ $$2doi$$a10.1016/j.jneuroim.2025.578524 000275968 0247_ $$2pmid$$apmid:39799766 000275968 0247_ $$2ISSN$$a0165-5728 000275968 0247_ $$2ISSN$$a1872-8421 000275968 0247_ $$2altmetric$$aaltmetric:172906080 000275968 037__ $$aDZNE-2025-00164 000275968 041__ $$aEnglish 000275968 082__ $$a610 000275968 1001_ $$aFalso, Silvia$$b0 000275968 245__ $$aSeasonal variation in myasthenia gravis incidence. 000275968 260__ $$aAmsterdam [u.a.]$$bElsevier Science$$c2025 000275968 3367_ $$2DRIVER$$aarticle 000275968 3367_ $$2DataCite$$aOutput Types/Journal article 000275968 3367_ $$0PUB:(DE-HGF)16$$2PUB:(DE-HGF)$$aJournal Article$$bjournal$$mjournal$$s1737451789_5211 000275968 3367_ $$2BibTeX$$aARTICLE 000275968 3367_ $$2ORCID$$aJOURNAL_ARTICLE 000275968 3367_ $$00$$2EndNote$$aJournal Article 000275968 520__ $$aEnvironmental factors may contribute to myasthenia gravis (MG) development, sometimes with seasonal patterns of exposure. However, whether seasonality has an impact on MG incidence remains unclear. We aimed to investigate the association between seasonality and MG onset.We reviewed data of MG patients with acetylcholine receptor (AChR)-IgG and disease onset between January 2010-December 2019, from two Italian cohorts: 1) an hospital-based cohort and 2) a population-based cohort. MG cases were assigned to four season-trimesters based on month of onset to determine seasonal association with MG incidence.We enrolled 316 patients:214 in the hospital-based and 102 in the population-based cohort. Median age at onset was 66 years (range, 8-92); Female accounted for 41.1 %. The median number of new MG cases per season-trimester was significantly higher in summer than other trimesters (p = 0.009), and associated with higher environmental temperatures.Our findings suggest that MG onset may be more common in summer and at higher environmental temperatures. Identifying the determinants of this association may improve our understanding of disease pathophysiology. 000275968 536__ $$0G:(DE-HGF)POF4-353$$a353 - Clinical and Health Care Research (POF4-353)$$cPOF4-353$$fPOF IV$$x0 000275968 588__ $$aDataset connected to CrossRef, PubMed, , Journals: pub.dzne.de 000275968 650_7 $$2Other$$aAChR-IgG 000275968 650_7 $$2Other$$aEpidemiology 000275968 650_7 $$2Other$$aOnset 000275968 650_7 $$2Other$$aPresentation 000275968 650_7 $$2Other$$aRisk 000275968 7001_ $$aZara, Pietro$$b1 000275968 7001_ $$aMarini, Sofia$$b2 000275968 7001_ $$aPuci, Mariangela$$b3 000275968 7001_ $$aSabatelli, Eleonora$$b4 000275968 7001_ $$aSotgiu, Giovanni$$b5 000275968 7001_ $$aMarini, Martina$$b6 000275968 7001_ $$0P:(DE-2719)9002395$$aSpagni, Gregorio$$b7$$udzne 000275968 7001_ $$aEvoli, Amelia$$b8 000275968 7001_ $$aSolla, Paolo$$b9 000275968 7001_ $$aIorio, Raffaele$$b10 000275968 7001_ $$aSechi, Elia$$b11 000275968 773__ $$0PERI:(DE-600)1500497-1$$a10.1016/j.jneuroim.2025.578524$$gVol. 399, p. 578524 -$$p578524$$tJournal of neuroimmunology$$v399$$x0165-5728$$y2025 000275968 8564_ $$uhttps://pub.dzne.de/record/275968/files/DZNE-2025-00164%20SUP.docx 000275968 8564_ $$uhttps://pub.dzne.de/record/275968/files/DZNE-2025-00164.pdf$$yOpenAccess 000275968 8564_ $$uhttps://pub.dzne.de/record/275968/files/DZNE-2025-00164%20SUP.doc 000275968 8564_ $$uhttps://pub.dzne.de/record/275968/files/DZNE-2025-00164%20SUP.odt 000275968 8564_ $$uhttps://pub.dzne.de/record/275968/files/DZNE-2025-00164%20SUP.pdf 000275968 8564_ $$uhttps://pub.dzne.de/record/275968/files/DZNE-2025-00164.pdf?subformat=pdfa$$xpdfa$$yOpenAccess 000275968 909CO $$ooai:pub.dzne.de:275968$$pdnbdelivery$$pdriver$$pVDB$$popen_access$$popenaire 000275968 9101_ $$0I:(DE-588)1065079516$$6P:(DE-2719)9002395$$aDeutsches Zentrum für Neurodegenerative Erkrankungen$$b7$$kDZNE 000275968 9131_ $$0G:(DE-HGF)POF4-353$$1G:(DE-HGF)POF4-350$$2G:(DE-HGF)POF4-300$$3G:(DE-HGF)POF4$$4G:(DE-HGF)POF$$aDE-HGF$$bGesundheit$$lNeurodegenerative Diseases$$vClinical and Health Care Research$$x0 000275968 9141_ $$y2025 000275968 915__ $$0StatID:(DE-HGF)0200$$2StatID$$aDBCoverage$$bSCOPUS$$d2025-01-07 000275968 915__ $$0StatID:(DE-HGF)0160$$2StatID$$aDBCoverage$$bEssential Science Indicators$$d2025-01-07 000275968 915__ $$0StatID:(DE-HGF)1050$$2StatID$$aDBCoverage$$bBIOSIS Previews$$d2025-01-07 000275968 915__ $$0StatID:(DE-HGF)1190$$2StatID$$aDBCoverage$$bBiological Abstracts$$d2025-01-07 000275968 915__ $$0StatID:(DE-HGF)0600$$2StatID$$aDBCoverage$$bEbsco Academic Search$$d2025-01-07 000275968 915__ $$0StatID:(DE-HGF)0100$$2StatID$$aJCR$$bJ NEUROIMMUNOL : 2022$$d2025-01-07 000275968 915__ $$0StatID:(DE-HGF)1030$$2StatID$$aDBCoverage$$bCurrent Contents - Life Sciences$$d2025-01-07 000275968 915__ $$0StatID:(DE-HGF)0113$$2StatID$$aWoS$$bScience Citation Index Expanded$$d2025-01-07 000275968 915__ $$0StatID:(DE-HGF)0150$$2StatID$$aDBCoverage$$bWeb of Science Core Collection$$d2025-01-07 000275968 915__ $$0StatID:(DE-HGF)9900$$2StatID$$aIF < 5$$d2025-01-07 000275968 915__ $$0StatID:(DE-HGF)0510$$2StatID$$aOpenAccess 000275968 915__ $$0StatID:(DE-HGF)0030$$2StatID$$aPeer Review$$bASC$$d2025-01-07 000275968 915__ $$0StatID:(DE-HGF)0300$$2StatID$$aDBCoverage$$bMedline$$d2025-01-07 000275968 915__ $$0LIC:(DE-HGF)CCBY4$$2HGFVOC$$aCreative Commons Attribution CC BY 4.0 000275968 915__ $$0StatID:(DE-HGF)0420$$2StatID$$aNationallizenz$$d2025-01-07$$wger 000275968 915__ $$0StatID:(DE-HGF)0199$$2StatID$$aDBCoverage$$bClarivate Analytics Master Journal List$$d2025-01-07 000275968 9201_ $$0I:(DE-2719)1810003$$kAG Prüß$$lAutoimmune Encephalopathies$$x0 000275968 980__ $$ajournal 000275968 980__ $$aVDB 000275968 980__ $$aUNRESTRICTED 000275968 980__ $$aI:(DE-2719)1810003 000275968 9801_ $$aFullTexts