Myasthenia Gravis Associated with Thymoma and Aplastic Anemia: Case Report

Myasthenia gravis is associated in 10 to 15 percent of patients with thymic tumors, rarely with aplastic anemia. We report a 45-year-old male diagnosed with myasthenia gravis ­associated with thymoma. We started treatment with pyridostigmine. After thymectomy, the patient ­received 30 irradiation se...

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Main Authors: Lidija Dežmalj Grbelja, Radovan Vrhovac, Monika Ulamec
Format: Article
Language:English
Published: Sestre Milosrdnice University hospital, Institute of Clinical Medical Research 2017-01-01
Series:Acta Clinica Croatica
Subjects:
Online Access:https://hrcak.srce.hr/file/288264
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author Lidija Dežmalj Grbelja
Radovan Vrhovac
Monika Ulamec
author_facet Lidija Dežmalj Grbelja
Radovan Vrhovac
Monika Ulamec
author_sort Lidija Dežmalj Grbelja
collection DOAJ
description Myasthenia gravis is associated in 10 to 15 percent of patients with thymic tumors, rarely with aplastic anemia. We report a 45-year-old male diagnosed with myasthenia gravis ­associated with thymoma. We started treatment with pyridostigmine. After thymectomy, the patient ­received 30 irradiation sessions. In the postoperative course, he had mild worsening of myasthenia gravis, which improved with prednisone. Five months later, he developed severe aplastic anemia. He was dependent on blood supplement. After allogeneic transplantation of bone marrow, he improved but later he ­developed graft versus host disease. Myasthenia gravis was under good control with 480 mg of ­pyridostigmine per day.
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spelling doaj.art-c1f3ad4c00854fc28b6dbc9003a355522024-04-15T14:40:28ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512017-01-0156.4.81782010.20471/acc.2017.56.04.34Myasthenia Gravis Associated with Thymoma and Aplastic Anemia: Case ReportLidija Dežmalj Grbelja0Radovan Vrhovac1Monika Ulamec2University Department of Neurology, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaUniversity Department of Hematology, Zagreb University Hospital Center, Zagreb, CroatiaUniversity Department of Pathology, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaMyasthenia gravis is associated in 10 to 15 percent of patients with thymic tumors, rarely with aplastic anemia. We report a 45-year-old male diagnosed with myasthenia gravis ­associated with thymoma. We started treatment with pyridostigmine. After thymectomy, the patient ­received 30 irradiation sessions. In the postoperative course, he had mild worsening of myasthenia gravis, which improved with prednisone. Five months later, he developed severe aplastic anemia. He was dependent on blood supplement. After allogeneic transplantation of bone marrow, he improved but later he ­developed graft versus host disease. Myasthenia gravis was under good control with 480 mg of ­pyridostigmine per day.https://hrcak.srce.hr/file/288264Myasthenia gravisAnemia, aplasticThymomaPyridostigmine bromideThymectomyGraft vs host disease
spellingShingle Lidija Dežmalj Grbelja
Radovan Vrhovac
Monika Ulamec
Myasthenia Gravis Associated with Thymoma and Aplastic Anemia: Case Report
Acta Clinica Croatica
Myasthenia gravis
Anemia, aplastic
Thymoma
Pyridostigmine bromide
Thymectomy
Graft vs host disease
title Myasthenia Gravis Associated with Thymoma and Aplastic Anemia: Case Report
title_full Myasthenia Gravis Associated with Thymoma and Aplastic Anemia: Case Report
title_fullStr Myasthenia Gravis Associated with Thymoma and Aplastic Anemia: Case Report
title_full_unstemmed Myasthenia Gravis Associated with Thymoma and Aplastic Anemia: Case Report
title_short Myasthenia Gravis Associated with Thymoma and Aplastic Anemia: Case Report
title_sort myasthenia gravis associated with thymoma and aplastic anemia case report
topic Myasthenia gravis
Anemia, aplastic
Thymoma
Pyridostigmine bromide
Thymectomy
Graft vs host disease
url https://hrcak.srce.hr/file/288264
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AT radovanvrhovac myastheniagravisassociatedwiththymomaandaplasticanemiacasereport
AT monikaulamec myastheniagravisassociatedwiththymomaandaplasticanemiacasereport