Good ' s syndrome combined with bronchiectasis: A case report and literature review

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2021 Mar 28;46(3):328-332. doi: 10.11817/j.issn.1672-7347.2021.190777.
[Article in English, Chinese]

Abstract

A patient with thymoma associated immunodeficiency syndrome (Good's syndrome) and bronchiectasis was retrospectively analyzed. Good's syndrome is a rare condition of immunodeficiency that is characterized by thymoma and hypogammaglobulinemia. It is important to bear in mind that Good's syndrome should be included in the differential diagnosis When patients repeatedly visited for bronchiectasis or infection, we should alert to their immune state and history of thymoma. Early screening of immunological status and aggressive correction of immune deficiency are beneficial to improving the prognosis to patients with Good's syndrome.

回顾性分析1例胸腺瘤相关免疫缺陷综合征(Good’s综合征)合并支气管扩张病例,结合最新文献从发病机制分析Good’s综合征患者的常见临床症状、实验室检查结果及治疗策略。因支气管扩张、反复感染就诊时,应警惕其免疫状态,详细了解病史。若当患者有胸腺瘤病史应考虑Good’s综合征作为鉴别诊断。Good’s综合征患者极易出现致死性机会感染,当考虑为Good’s综合征时,应及时给予丙种球蛋白等免疫支持治疗,避免和预防感染。早期免疫状态筛查和积极纠正原发免疫缺陷对于Good’s综合征患者的诊断和预后很有价值。.

Keywords: Good’s syndrome; bronchiectasis; thymoma.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Agammaglobulinemia* / complications
  • Bronchiectasis* / complications
  • Humans
  • Retrospective Studies
  • Thymoma* / complications
  • Thymus Neoplasms* / complications