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MG can mimic ALS and other neurological disorders leading to a delay in diagnosis and treatment. MG is eminently treatable; ALS is not. Myasthenic syndrome, also known as Lambert-Eaton syndrome, can mimic ALS and its initial presentation can be similar to that of MG.
because als symptoms include fatigue muscle weakness and muscle twitches early on it can look like other very treatable illnesses one that commonly comes up is lyme disease an infectious disease resulting from a tick bite unlike als lyme is usually treatable with antibiotics lyme disease does not cause als and generally in a diagnostic workup a neurologist can easily separate als from lyme infections either clinically or with testing