A case of invasive thymoma associated with myasthenia gravis, myositis and demyelinating neuropathy.

: A 56 year old male presented after 2 months of muscle stiffness, pain and palpable lumps. Biopsy confirmed the presence of myositis. Myasthenia gravis and peripheral neuropathy became clinically apparent within days of commencing corticosteroid therapy. 4 months later, at operation, a locally invasive thymoma was found. This combination of features has not previously been described.