Aims - The rate of remission among patients with myasthenia gravis (MG
) following thymectomy and the predictors of the outcome have revealed
vast variation in studies from different geographic regions raising s
uspicion about the influence of ethnic factors. Material & methods - W
e retrospectively evaluated the outcome of 71 South Indian MG patients
who were thymectomized between 1987 through 1993 and analyzed the rel
ationship between clinical and histopathological features and postthym
ectomy outcome. Results - The clinical severity of the disease did not
differ between the 29 patients with and 42 patients without a thymoma
. Seventynine percent of our patients responded favourably to thymecto
my; without additional immunosupression therapy, 52% achieved a near-c
omplete remission. An younger age and milder disease correlated with a
good outcome. Patients with thymoma responded as favourably as those
without a thymoma. Conclusions - The postthymectomy response of South
Indian MG patients in general did not differ from that of Western and
Oriental patients.