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Case Reports
. 2007 Dec;84(6):2095-7.
doi: 10.1016/j.athoracsur.2007.06.070.

Good syndrome coexisting with leukopenia

Masatsugu Ohuchi  1 , Shuhei Inoue, Jun Hanaoka, Tomoyuki Igarashi, Noriaki Tezuka, Yoshitomo Ozaki, Koji Teramoto
Affiliations
Case Reports

Good syndrome coexisting with leukopenia

Masatsugu Ohuchi et al. Ann Thorac Surg. 2007 Dec.

Abstract

A 61-year-old man was admitted to our hospital for further examinations of a mediastinal mass. He had underwent an extended thymothymectomy, and had a tumor that was diagnosed as a type B1 thymoma, according to the World Health Organization. One year after surgery he was admitted again for recurrent diarrhea and pneumonia. Laboratory data revealed severe hypogammaglobulinemia with leukopenia. He was diagnosed with Good syndrome with leukopenia. Regular gamma globulin and figrastim injections were successful in keeping the patient symptom free. The prognosis of patients with Good syndrome and leukopenia is very poor; therefore, immediate diagnosis is important. The development of infectious diseases in a patient with thymoma or after the resection of thymoma mandates early and comprehensive immunologic investigation.

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