title: A case of granulomatous lung disease in a patient with Good's syndrome.
abstract: Good's syndrome is extremely rare. This adult-onset condition is characterized by a thymoma with immunodeficiency, low B- and T-cell counts, and hypo-gammaglobulinemia. The initial clinical presentation is either a mass-lesion thymoma or a recurrent infection. Patients with Good's syndrome are very susceptible to infections; common respiratory and opportunistic infections can be life-threatening. There are no reports of granulomatous lung disease in patients with Good's syndrome, although it has been observed in patients with common variable immunodeficiency, of which Good's syndrome is a subset. We describe a 53-year-old male thymoma patient who presented with respiratory symptoms caused by granulomatous lung disease and an opportunistic infection. He died of uncontrolled fungal infection despite repeated intravenous immunoglobulin and supportive care. Clinicians should look for evidence of immunologic dysfunction in thymoma patients presenting with severe recurrent infections, especially opportunistic infections.
authors.affiliation: Department of Internal Medicine, Inje University College of Medicine, Busan, Korea.
authors.forename: Seung Heon
authors.initials: SH
authors.lastname: Lee
authors.forename: Sang Min
authors.initials: SM
authors.lastname: Lee
authors.forename: Seok Chul
authors.initials: SC
authors.lastname: Yang
authors.forename: Chul Gyu
authors.initials: CG
authors.lastname: Yoo
authors.forename: Young Whan
authors.initials: YW
authors.lastname: Kim
authors.forename: Young Soo
authors.initials: YS
authors.lastname: Shim
authors.forename: Sung Koo
authors.initials: SK
authors.lastname: Han
mesh_terms: D017809:Fatal Outcome; D015769:Granuloma, Respiratory Tract / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007153:Immunologic Deficiency Syndromes / Q000150:complications* / Q000276:immunology / Q000473:pathology; D008171:Lung Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D013945:Thymoma / Q000150:complications* / Q000276:immunology / Q000473:pathology; D013953:Thymus Neoplasms / Q000150:complications* / Q000276:immunology / Q000473:pathology