Interact CardioVasc Thorac Surg 2009;9:345-346. doi:10.1510/icvts.2009.207308 © 2009 European Association of Cardio-Thoracic Surgery
Brief communication - Thoracic oncologic |
Lichen planus in a case of Good's syndrome (thymoma and immunodeficiency)
Sujoy Khana,*,
Anne Campbellb,
Carol Huntc and
W.A. Carrock Sewella,d
a Path Links Immunology, Scunthorpe General Hospital, DN15 7BH, UK
b Department of Histopathology, Hull Royal Infirmary, Hull, HU3 2JZ, UK
c Path Links Histopathology, Scunthorpe General Hospital, DN15 7BH, UK
d Hull York Medical School, Hull, HU6 7RX, UK
*Corresponding author. Tel.: +44-1724-387820; fax: +44-1724-865680.
E-mail address: sujoykhan{at}gmail.com (S. Khan).
Patients with thymoma are mostly investigated for autoimmunity but a few patients may have underlying immunodeficiency that is referred to as Good's syndrome (GS). Cardiothoracic surgeons must always consider this diagnosis when undertaking thymectomy, as immunoglobulin levels can be easily measured and is readily available. The immunodeficiency in GS can be life-threatening and more importantly, it is not reversed by thymectomy. Collaborative care with an Immunologist for these patients is strongly recommended.
Key Words: Thymoma; Immunodeficiency; Good's syndrome; Lichen planus
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