Paraneoplastic relapsing minimal change disease associated with type A thymoma in an elderly patient: A case report and literature review
- Author:
Clara Lee Ying Ngoh
1
;
Giap Hean Shaun Goh
2
;
Weng Kin Wong
1
Author Information
- Publication Type:Journal Article
- From: The Medical Journal of Malaysia 2019;74(1):97-98
- CountryMalaysia
- Language:English
- Abstract: Thymoma is a rare mediastinal tumour that can be accompanied by different paraneoplastic syndromes. Here we report a case of Type A thymoma associated with relapsing minimal change disease (MCD). This case highlights: (1) The need to balance rapid prednisolone weaning against risk for relapse in an elderly patient at risk for steroid-induced complications. (2) The addition of calcineurin inhibitor in relapsed thymoma-related MCD, to achieve steroid sparing effects. Resection of the offending tumour and prompt immunosuppressive therapy are critical in getting best renal and overall outcomes in this rare entity
- Full text:6.2019.my1397.pdf
