Over the past 10 years, significant advances have been made in our und
erstanding of acquired myasthenia gravis (MG) in companion animals. Th
e broad spectrum of presenting clinical signs has been defined and an
accurate and sensitive diagnostic test is available. Even with these a
dvances, the mortality rate in dogs with acquired MG remains unaccepta
bly high. While an understanding of the genetic basis for susceptibili
ty to autoimmune disease has started to be developed, the trigger for
the initiation of this disease is not known and a mechanism for specif
ic suppression of the aberrant immune response against the acetylcholi
ne receptor remains a mystery.