This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pathology
Lambert-Eaton Myasthenic Syndrome is associated with? 
Select and explain. 
A. Hyperthyroidism, B. Small cell lung carcinoma, C. Vitiligo, D. All of the above
D: All of the above
Answer: D: All of the above 
Explanation: Around 50% cases of Lambert Eaton Myasthenic syndrome have paraneoplastic association with small cell lung carcinoma.
The disease is also seen in association with other autoimmune diseases.