thymoma and ulcerative colitis

Thymoma commonly associated with various paraneoplastic syndromes. here is a 62-year-old non-smoker man with history of ulcerative colitis tree years ago. recurrent attacks of respiratory symptoms make repeated visit of the patient by physician afterward. chest radiographic findings were compatible with thymoma. the condition was followed by hypoimmunoglubolinemia and pure red cell aplasia. anemia was refractory to thymectomy. cyclosporine and prednisolone was started but led to pneumococcal pneumonia and sepsis in patients who had already suffered from hypoimmunoglubolinemia.