“…Dear Editor, With interest, we read the article by Riano-Odiviela et al about a 78-year-old female with myasthenia gravis (MG) who experienced a myasthenic crisis during a respiratory infection manifesting as dysphagia and partial respiratory insufficiency being treated with immunoglobulins and non-invasive positive pressure ventilation (NIPPV) 1 . Seven days after onset of myasthenic crisis, she experienced acute respiratory failure requiring mechanical ventilation 1 . Takotsubo syndrome (TTS) was diagnosed 1 .…”