Introduction. Lichen planus is a chronic inflammatory disease of the s
kin, rarely associated with a thymoma. Case report. A R-year-old woman
with erosive buccal lichen, hypertrophic lichen planus of the lower l
imbs, severe myasthenia and acquired hypogammaglobulinaemia associated
with thymoma. CD8 lymphocyte count was increased. In the months follo
wing surgical ablation of the thymoma, the clinical examination and la
boratory findings progressively returned to normal. Two years later, t
he patient was in good health. Discussion. To our knowledge, this is t
he first report of favourable outcome after surgical treatment despite
the aggressive symptomatology. The particular outcome allow confirmat
ion that the thymoma plays a causal role in this syndrome and emphasiz
es the effects a thymoma can have on the immune system.