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  1. Article ; Online: A Rare Case of Metaplastic Thymoma Presenting With Myasthenia Gravis.

    Vega Prado, Ilianne / Shymansky, John / Apte, Anisha / Mortman, Keith / Kaminski, Henry J / Barak, Stephanie

    International journal of surgical pathology

    2023  Volume 32, Issue 1, Page(s) 155–159

    Abstract: Thymomas are tumors of the mediastinum often associated with autoimmune conditions, in particular myasthenia gravis. In contrast, among the fewer than 40 reports of metaplastic thymoma, myasthenia gravis is rarely found. We describe the fourth patient, ... ...

    Abstract Thymomas are tumors of the mediastinum often associated with autoimmune conditions, in particular myasthenia gravis. In contrast, among the fewer than 40 reports of metaplastic thymoma, myasthenia gravis is rarely found. We describe the fourth patient, and first man, with metaplastic thymoma and myasthenia gravis. A 34-year-old had acute onset of double vision with associated dysphagia and was found to have an elevation of serum acetylcholine receptor antibodies. He underwent a transsternal thymectomy. Tissue sections showed a biphasic proliferation of keratin-positive epithelial cells with a complement of spindle cells confirming the diagnosis of metaplastic thymoma. Terminal deoxynucleotidyl transferase (TDT)-positive T lymphocytes were rare and only found in the periphery of the tumor, consistent with thymic remnant. A
    MeSH term(s) Male ; Humans ; Adult ; Thymoma/complications ; Thymoma/diagnosis ; Thymus Neoplasms/complications ; Thymus Neoplasms/diagnosis ; Myasthenia Gravis/complications ; Myasthenia Gravis/diagnosis ; T-Lymphocytes ; Thymectomy
    Language English
    Publishing date 2023-04-24
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 1336393-1
    ISSN 1940-2465 ; 1066-8969
    ISSN (online) 1940-2465
    ISSN 1066-8969
    DOI 10.1177/10668969231168344
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Mycophenolate mofetil for the long-term treatment of HTLV-1 associated myelopathy: A case report.

    Sanz, Marta / Chernet, Sofia / Shymansky, John / Mandel, Alexandra / Chitrakar, Alisha / Kaminski, Henry J / Ghosh, Pritha / Soriano-Sarabia, Natalia

    Journal of neuroimmunology

    2024  Volume 388, Page(s) 578294

    Abstract: Human T-cell leukemia virus type 1 (HTLV-1) can cause HTLV-1 Associated Myelopathy/Tropical Spastic Paraparesis (HAM/TSP). Current treatment options for HAM/TSP are limited. We present a woman with rapidly-progressive HAM/TSP with significant, sustained ... ...

    Abstract Human T-cell leukemia virus type 1 (HTLV-1) can cause HTLV-1 Associated Myelopathy/Tropical Spastic Paraparesis (HAM/TSP). Current treatment options for HAM/TSP are limited. We present a woman with rapidly-progressive HAM/TSP with significant, sustained clinical improvement following initiation of mycophenolate mofetil (MMA). Peripheral blood mononuclear cells from the patient, her asymptomatic carrier husband and eight healthy controls were isolated. Frequencies of T-cell populations upon exposure to low and high MMA concentrations and differences in proliferation were analyzed using flow cytometry and a CSFE-proliferation assay. Characterization of T-cell function and proliferation showed higher levels of GranzymeB in HTLV-1+ donors. The improvement and stability of symptoms in this patient with HAM/TSP following MMA initiation requires further study as a potential treatment for HAM/TSP.
    MeSH term(s) Humans ; Female ; Human T-lymphotropic virus 1/physiology ; Mycophenolic Acid/therapeutic use ; Leukocytes, Mononuclear ; Paraparesis, Tropical Spastic/drug therapy ; Paraparesis, Tropical Spastic/diagnosis
    Chemical Substances Mycophenolic Acid (HU9DX48N0T)
    Language English
    Publishing date 2024-01-22
    Publishing country Netherlands
    Document type Case Reports ; Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 8335-5
    ISSN 1872-8421 ; 0165-5728
    ISSN (online) 1872-8421
    ISSN 0165-5728
    DOI 10.1016/j.jneuroim.2024.578294
    Database MEDical Literature Analysis and Retrieval System OnLINE

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