Abstract
A 64-year-old white postmenopausal widow developed muscular dystrophy and congestive heart failure. There was a terminal pericarditis. Autopsy revealed granulomatous myositis of all striated muscle, pericarditis, and a thymoma. Attention is drawn to the clinical and pathologic resemblance of isolated myocarditis (Fiedler's type) to the heart disease of muscular dystrophy. Similar granulomatous myositis is occasionally found in myasthenia gravis. A thymoma has never before been reported in any generalized disease except myasthenia gravis.
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