Alopecia Areata Associated With Myasthenia Gravis And Thymoma: A Case Of Alopecia With Marked Improvement Following Thymectomy And High-Level Prednisolone Administration

    December 1997 in “ The Journal of Dermatology
    Noriaki Kamada, Atsushi Hatamochi, Hiroshi Shinkai
    TLDR Thymectomy and high-dose prednisolone improved hair loss in a woman with alopecia areata.
    A 57-year-old Japanese woman with alopecia areata, myasthenia gravis (MG), and thymoma showed significant improvement in her scalp lesions following thymectomy and high-dose glucocorticosteroid treatment. Prior treatments, including systemic prednisolone, were ineffective as her hair loss progressed. However, after undergoing thymectomy and receiving high levels of glucocorticosteroids for MG, her scalp lesions improved within four weeks. This case suggested that thymectomy combined with high-dose glucocorticosteroid administration could effectively address the immune dysfunction responsible for alopecia in patients with similar conditions.
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