Journal of Dermatology & Dermatologic Surgery

CASE REPORT
Year
: 2019  |  Volume : 23  |  Issue : 1  |  Page : 38--40

Extensive onychomycosis in a patient with good syndrome


Ghadah AlHammad1, Hatoun AlMaziad2, Rayan AlKhodair3 
1 College of Medicine, King Saud University, Riyadh, Saudi Arabia
2 Department of Dermatology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
3 Department of Dermatology, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

Correspondence Address:
Dr. Ghadah AlHammad
College of Medicine, King Saud University, Riyadh 11466
Saudi Arabia

Thymoma with immunodeficiency was first reported by Dr. Robert Alan Good and was termed Good Syndrome. It is a rare acquired immunological disorder with <200 cases reported in the literature. Although described more than 60 years ago, the syndrome is still largely underrecognized by physicians who deal with the variable manifestations in the absence of diagnostic criteria. Here, we describe a patient with Good Syndrome diagnosed with extensive candidal onychomycosis. The patient had a history of excised thymoma and had myasthenia gravis. Further, laboratory investigations showed very low B-cells, CD4 helper T-cells and reduced CD4/CD8 consistent with the described abnormalities associated with Good Syndrome in the literature. Atypically severe variants of onychomycosis could indicate the presence of an immunodeficiency.


How to cite this article:
AlHammad G, AlMaziad H, AlKhodair R. Extensive onychomycosis in a patient with good syndrome.J Dermatol Dermatol Surg 2019;23:38-40


How to cite this URL:
AlHammad G, AlMaziad H, AlKhodair R. Extensive onychomycosis in a patient with good syndrome. J Dermatol Dermatol Surg [serial online] 2019 [cited 2023 Mar 29 ];23:38-40
Available from: https://www.jddsjournal.org/article.asp?issn=2352-2410;year=2019;volume=23;issue=1;spage=38;epage=40;aulast=AlHammad;type=0