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BMJ Case Rep ; 20112011 May 10.
Article in English | MEDLINE | ID: mdl-22696713

ABSTRACT

Graft-versus-host-disease (GVHD) with erythroderma can rarely occur in the context of thymoma and is associated with a poor prognosis due to an increased risk of infection-related death. The present study describes a case of a 50-year-old man with malignant thymoma who developed sepsis in addition to skin manifestations similar to that seen in GVHD. This patient experienced marked improvement in skin lesions in response to steroids and combination chemotherapy with carboplatin and paclitaxel, with subsequent resolution of infection. The present study describes the clinical course of this patient, followed by a review of pertinent reports of thymoma associated with GVHD with particular focus on the efficacy of treatment strategies.


Subject(s)
Anti-Inflammatory Agents/therapeutic use , Dermatitis, Exfoliative/etiology , Graft vs Host Disease/diagnosis , Methylprednisolone/therapeutic use , Thymoma/complications , Thymus Neoplasms/complications , Antineoplastic Agents/administration & dosage , Antineoplastic Agents/therapeutic use , Cisplatin/administration & dosage , Cisplatin/therapeutic use , Dermatitis, Exfoliative/diagnosis , Dermatitis, Exfoliative/drug therapy , Dermatitis, Exfoliative/pathology , Diagnosis, Differential , Drug Therapy, Combination , Humans , Male , Middle Aged , Paclitaxel/administration & dosage , Paclitaxel/therapeutic use , Skin/pathology , Thymoma/pathology , Thymus Neoplasms/pathology
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