Twenty-Nail Dystrophy and Alopecia Areata in an Adult Male with Thymoma-Associated Myasthenia Gravis: A Case Report

This case report discusses a 37-year-old Filipino male with thymoma-associated myasthenia gravis who also developed twenty-nail dystrophy and alopecia areata. The patient exhibited symptoms such as ptosis, diplopia, difficulty swallowing, and muscle weakness, which were confirmed as myasthenia gravis. Additionally, he experienced thinning and ridging of nails and bald patches on the scalp, diagnosed as twenty-nail dystrophy and alopecia areata. The study suggests that thymoma may be a risk factor linking these three conditions.