面肩肱肌营养不良近年来屡见报告,但合并重症肌无力国内未见报告,尤其是兄妹俩同患本病,更为罕见。笔者遇见兄妹两人同患此病,报告如下。1病历摘要女,36岁。因口唇、颈肌无力6 a,四肢无力4 a而于2009-03-24就诊。该患6 a前发现吃饭久时出现口唇无力,闭合费力,之后出现颈肌无力, Surface shoulder-brachial muscular dystrophy frequently reported in recent years, but no reports of merger myasthenia gravis in China, especially the brothers and sisters with the disease, more rare. I met two brothers and sisters suffering from the disease, the report is as follows. 1 medical records summary Female, 36 years old. Due to the lips, neck muscle weakness 6 a, limb weakness 4 a and 2009-03-24 treatment. The patient found that 6 years ago, eating lips appeared weak, closed and laborious, followed by cervical muscle weakness,