{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T10:11:30Z","timestamp":1776507090132,"version":"3.51.2"},"reference-count":10,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,6,7]],"date-time":"2016-06-07T00:00:00Z","timestamp":1465257600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust J Dermatology"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A 65\u2010year\u2010old woman had undergone a thymectomy for thymoma and 1 year after surgery she developed scattered erosive erythema with scaling and crusting. Examination findings exhibited the elevation of anti\u2010ds<jats:styled-content style=\"fixed-case\">DNA<\/jats:styled-content> antibody, anti\u2010desmoglein 1 antibody, anti\u2010acetylcholine receptor antibody and anti\u2010thyroglobulin antibody. A skin biopsy showed intraepidermal blisters containing neutrophils and acantholytic keratinocytes and direct immunofluorescence revealed the deposition of immunoglobulin G in the epidermis and on the basement membrane. These findings indicated the presence of systemic lupus erythematosus (<jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content>), myasthenia gravis, pemphigus foliaceus and chronic thyroiditis. Only 1% of <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content> patients have three other autoimmune diseases according to previous publications. Our case is rare because she suffered four autoimmune diseases after the thymectomy.<\/jats:p>","DOI":"10.1111\/ajd.12510","type":"journal-article","created":{"date-parts":[[2016,6,7]],"date-time":"2016-06-07T09:23:05Z","timestamp":1465291385000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Systemic lupus erythematosus associated with myasthenia gravis, pemphigus foliaceus and chronic thyroiditis after thymectomy"],"prefix":"10.1111","volume":"58","author":[{"given":"Soichiro","family":"Sawamura","sequence":"first","affiliation":[{"name":"Faculty of Life Sciences Department of Dermatology and Plastic Surgery Kumamoto University Kumamoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ikko","family":"Kajihara","sequence":"additional","affiliation":[{"name":"Faculty of Life Sciences Department of Dermatology and Plastic Surgery Kumamoto University Kumamoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katsunari","family":"Makino","sequence":"additional","affiliation":[{"name":"Faculty of Life Sciences Department of Dermatology and Plastic Surgery Kumamoto University Kumamoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takamitsu","family":"Makino","sequence":"additional","affiliation":[{"name":"Faculty of Life Sciences Department of Dermatology and Plastic Surgery Kumamoto University Kumamoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Fukushima","sequence":"additional","affiliation":[{"name":"Faculty of Life Sciences Department of Dermatology and Plastic Surgery Kumamoto University Kumamoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masatoshi","family":"Jinnin","sequence":"additional","affiliation":[{"name":"Faculty of Life Sciences Department of Dermatology and Plastic Surgery Kumamoto University Kumamoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bungo","family":"Oyama","sequence":"additional","affiliation":[{"name":"Department of Dermatology Kurume University School of Medicine Kurume Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Hashimoto","sequence":"additional","affiliation":[{"name":"Kurume University Institute of Cutaneous Cell Biology Kurume Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hironobu","family":"Ihn","sequence":"additional","affiliation":[{"name":"Faculty of Life Sciences Department of Dermatology and Plastic Surgery Kumamoto University Kumamoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,6,7]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.59.3.230"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-34-4-1025"},{"key":"e_1_2_5_4_1","first-page":"277","article-title":"Pemphigus foliaceus, myasthenia gravis, and thymoma in a patient with serological evidence of SLE","volume":"11","author":"Cooper A","year":"1981","journal-title":"Aust. 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