AUTHOR=Wu Xuan , Xu Xiao-tian , Zhou Lin , Qiao Kai , Zhao Chong-bo , Luo Su-shan TITLE=Distal muscle weakness as the main onset symptom in thymoma-associated myasthenia gravis: a case report and literature review JOURNAL=Frontiers in Immunology VOLUME=16 YEAR=2025 URL=https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2025.1498847 DOI=10.3389/fimmu.2025.1498847 ISSN=1664-3224