Case Report
J Rheum Dis 2011; 18(1): 32-35
Published online March 30, 2011
© Korean College of Rheumatology
류마티스관절염 양상으로 발현된 췌장암의 부종양성 증후군 1예
김영일1ㆍ최선규2ㆍ이호준1ㆍ이경은1ㆍ이성지1ㆍ서성례1ㆍ김태종1ㆍ박용욱1ㆍ이신석1
전남대학교 의과대학 류마티스내과학교실1, 여수전남병원 내과2
A Case of Paraneoplastic Syndrome Associated with Pancreatic Cancer Presenting as Rheumatoid Arthritis
Correspondence to : Shin-Seok Lee
Paraneoplastic cancer polyarthritis is a very rare manifestation of musculoskeletal disorders associated with several solid and hematologic malignancies. We describe a 71-year- old woman who presented initially with an abrupt onset of rheumatoid arthritis-like symmetrical polyarthritis. The patient was diagnosed with pancreatic cancer with multiple hepatic metastases approximately six months later. Her symptoms of polyarthritis improved after the introduction of medication including non-steroidal anti-inflammatory drugs and disease modifying anti-rheumatic drugs. This case suggests that a hidden malignancy should always be considered in elderly patients, who present with an abrupt onset of symmetric polyarthritis for the first time in their life.
Keywords Paraneoplastic polyarthritis, Rheumatoid arthritis
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Case Report
J Rheum Dis 2011; 18(1): 32-35
Published online March 30, 2011
Copyright © Korean College of Rheumatology.
류마티스관절염 양상으로 발현된 췌장암의 부종양성 증후군 1예
김영일1ㆍ최선규2ㆍ이호준1ㆍ이경은1ㆍ이성지1ㆍ서성례1ㆍ김태종1ㆍ박용욱1ㆍ이신석1
전남대학교 의과대학 류마티스내과학교실1, 여수전남병원 내과2
A Case of Paraneoplastic Syndrome Associated with Pancreatic Cancer Presenting as Rheumatoid Arthritis
Young-Il Kim1, Seon-Gyu Choi2, Ho-Jun Lee1, Kyung-Eun Lee1, Sung-Ji Lee1, Seong-Rye Seo1, Tae-Jong Kim1, Yong-Wook Park1, Shin-Seok Lee1
Department of Rheumatology, Chonnam National University Medical School, Gwangju1, Yeosu Chonnam Hospital, Yeosu2, Korea
Correspondence to:Shin-Seok Lee
Abstract
Paraneoplastic cancer polyarthritis is a very rare manifestation of musculoskeletal disorders associated with several solid and hematologic malignancies. We describe a 71-year- old woman who presented initially with an abrupt onset of rheumatoid arthritis-like symmetrical polyarthritis. The patient was diagnosed with pancreatic cancer with multiple hepatic metastases approximately six months later. Her symptoms of polyarthritis improved after the introduction of medication including non-steroidal anti-inflammatory drugs and disease modifying anti-rheumatic drugs. This case suggests that a hidden malignancy should always be considered in elderly patients, who present with an abrupt onset of symmetric polyarthritis for the first time in their life.
Keywords: Paraneoplastic polyarthritis, Rheumatoid arthritis
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