Document Detail


Durable hypogammaglobulinemia associated with thymoma (Good syndrome).
MedLine Citation:
PMID:  19797831     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Good syndrome, characterized by hypogammaglobulinemia and acquired immunodeficiency, is a rare condition associated with thymoma. A 67-year-old woman, who 4 months previously had a thymoma resected, presented with generalized hypogammaglobulinemia with a severely decreased B cell population as demonstrated by flow cytometry. She was diagnosed as having bacterial mediastinitis associated with Good syndrome. For the subsequent 6 years, she suffered from repeated serious bacterial infections. As this paraneoplastic syndrome is not resolved by tumor removal, careful management with intensive infection-control using antibiotics and intravenous immunoglobulins is required for the long term. Serum immunoglobulin levels should be evaluated for patients with thymoma and suspected vulnerability to infection.
Authors:
Atsushi Kitamura; Yuichi Takiguchi; Naobumi Tochigi; Shun-ichi Watanabe; Seiichirou Sakao; Katsushi Kurosu; Nobuhiro Tanabe; Koichiro Tatsumi
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-10-01
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  48     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2009  
Date Detail:
Created Date:  2009-10-02     Completed Date:  2009-12-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1749-52     Citation Subset:  IM    
Affiliation:
Department of Respirology, Graduate School of Medicine, Chiba University, Chiba.
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MeSH Terms
Descriptor/Qualifier:
Agammaglobulinemia / complications*,  immunology
Aged
B-Lymphocytes / immunology
Female
Humans
Immunologic Deficiency Syndromes / complications,  immunology
Lymphopenia / complications,  immunology
Paraneoplastic Syndromes / complications,  immunology
Syndrome
Thymoma / complications*,  diagnosis,  immunology
Thymus Neoplasms / complications*,  diagnosis,  immunology
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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