Twin pairs with one or two myasthenic patients were selected from pati
ents with neuromuscular pathology. 18 couples of twins were included i
n final selection (9 monozygotic and 9 dizygotic pairs). 4 pairs of mo
nozygotic twins were concordant To myasthenia (MA). All dizygotic pair
s were discordant to this disease. matched concordantness of monozygot
ic twins was 44%. Penetration of pathological gene was 64% assuming th
e hypothesis about monogenic heredity of MA, The coefficient of heredi
ty was 44%, The conclusion was made about important, but not absolute
role of hereditary factors in development of MA, It was necessary the
presence of combination of both genetic and environmental factors for
MA development.