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What is the most appropriate next step in management of this p | Uworld | Step 2ck

What is the most appropriate next step in management of this patient?
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0%
Cyclosporine
0%
Intravenous acyclovir
83%
Intravenous immunoglobulin
0%
Intravenous methylprednisolone
17%
Pyridostigmine
0%
Riluzole