Acquired generalised neuromyotonia, cutaneous lupus erythematosus and alopecia areata in a patient with myasthenia gravis

Clin Neurol Neurosurg. 2007 May;109(4):374-5. doi: 10.1016/j.clineuro.2006.12.010. Epub 2007 Jan 18.

Abstract

We describe a patient with the diagnoses of acquired neuromyotonia, cutaneous lupus erythematosus and alopecia areata, occurring many years after a thymectomy for myasthenia gravis associated with a thymoma. We review the current literature on autoimmune conditions associated with myasthenia gravis and thymectomy. To our knowledge, this combination of multiple autoimmune conditions has not been reported previously.

Publication types

  • Case Reports

MeSH terms

  • Alopecia Areata / diagnosis*
  • Alopecia Areata / immunology
  • Antibodies, Antinuclear / blood
  • Autoantibodies / blood
  • Autoimmune Diseases / diagnosis*
  • Autoimmune Diseases / immunology
  • Carbamazepine / therapeutic use
  • Female
  • Humans
  • Isaacs Syndrome / diagnosis*
  • Isaacs Syndrome / drug therapy
  • Isaacs Syndrome / immunology
  • Lupus Erythematosus, Cutaneous / diagnosis*
  • Lupus Erythematosus, Cutaneous / immunology
  • Middle Aged
  • Myasthenia Gravis / diagnosis*
  • Myasthenia Gravis / immunology
  • Myasthenia Gravis / surgery
  • Neurologic Examination
  • Postoperative Complications / diagnosis
  • Postoperative Complications / immunology
  • Potassium Channels, Voltage-Gated / immunology
  • Receptors, Cholinergic / immunology
  • Thymectomy
  • Thymoma / diagnosis
  • Thymoma / immunology
  • Thymoma / surgery
  • Thymus Neoplasms / diagnosis
  • Thymus Neoplasms / immunology
  • Thymus Neoplasms / surgery

Substances

  • Antibodies, Antinuclear
  • Autoantibodies
  • Potassium Channels, Voltage-Gated
  • Receptors, Cholinergic
  • Carbamazepine