PT - JOURNAL ARTICLE AU - Chien-Tzu Hung AU - Tsen-Fang Tsai AU - Jin-Shing Chen AU - Min-Shu Hsieh TI - Thymoma-associated multiorgan autoimmunity AID - 10.1136/bcr-2018-229163 DP - 2019 Aug 01 TA - BMJ Case Reports PG - e229163 VI - 12 IP - 8 4099 - http://casereports.bmj.com/content/12/8/e229163.short 4100 - http://casereports.bmj.com/content/12/8/e229163.full SO - BMJ Case Reports2019 Aug 01; 12 AB - Thymoma-associated multiorgan autoimmunity is a relatively new term to describe the rare paraneoplastic syndrome that complicates thymoma, which can involve the thyroid, liver and intestine in addition to the skin. The pathology often indicates a graft-versus-host-like pattern commonly observed in recipients of an allogeneic haematopoietic cell transplant. We report a case of type B2 and B3 thymoma with invasion to the lung and pleura in a patient who presented with oral lichen planus and graft-versus-host-like erythroderma. The cutaneous lesions improved after complete resection of the thymoma in combination with systemic glucocorticoids, which was subsequently complicated by cytomegalovirus pneumonitis.