Isolated respiratory muscles weakness is an unusual presentation of Myasthenia Gravis (MG). We present a case of 49-year-old male with undiagnosed MG who presented with fluctuating dyspnea on exertion and at rest. There was no peripheral muscle involvement. diagnostic tests and standard electromyography was normal. https://missouriquiltcoes.shop/product-category/machine-embroidery-accessories/