XXXX and @entity704 --a double-edged sword.

@entity1 @entity1143 @entity1665 @entity644 @entity704 @entity417 @entity1353 @entity882 @entity2294 @entity625 @entity19 @entity1252 @entity4125 @entity134
The coexistence of @entity1252 ( @entity1252 ) and @entity704 is rare. We describe 2 female @entity1 with this combination. A 48-year-old @entity1 presented with @entity1353 due to a left @entity1143 . Her past history revealed over the previous 3 years the development of @entity417 , @entity882 , @entity1665 , @entity2294 and @entity644 . Four months prior to this hospitalization, the @entity1 was first admitted due to @entity4125 . At that time, laboratory tests revealed an elevated sedimentation rate, elevated titers of ANA and anti-DNA. Chest X-ray demonstrated a widened mediastinum, and upon operation an encapsulated @entity704 was excised. Four months following the thymectomy, the @entity1 is unresponsive despite high dose @entity134 therapy. Another @entity1 , a 30-year-old @entity1 , presented with @entity1252 (cutaneous, @entity625 , @entity417 , positive ANA and high titers of anti-DNA) and @entity704 simultaneously. Six years after thymectomy the @entity1 is in @entity1252 remission. Thymectomy in @entity19 prone to autoimmunity (NZB/W @entity19 ) has been shown to accelerate the autoimmune manifestations. Conversely, the opposite effect is seen in MRL/lpr @entity19 . The immunological effect of adult thymectomy on the course of @entity1 @entity1252 remains to be established, on a larger series of @entity1 . It seems that the heterogenicity of @entity1 @entity1 is exemplified by the contrasting effects of thymectomy for @entity704 in @entity1252 @entity1 .
