Paraneoplastic Polymyalgia Rheumatica as Manifestation of a Pancreatic Neuroendocrine Tumour

Autor: Luís Felipe Linhares Santos, Cláudia Susana Teixeira Graça Fernandes, António Pedro Mendes Duarte Rodrigues Teotónio
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: European Journal of Case Reports in Internal Medicine, Vol 1, Iss 1 (2014)
Druh dokumentu: article
ISSN: 2284-2594
DOI: 10.12890/2014_000146
Popis: Autoimmune diseases may present as paraneoplastic syndrome. This is especially recognized in the case of polymyositis/dermatomyositis, but is less common in polymyalgia rheumatica. The authors describe the case of a 73-year-old man who presented with pain and stiffness of the scapular and pelvic girdles associated with asthenia lasting for a few weeks. The presence of therapeutic resistance and other atypical features directed the investigation towards the search of an occult malignancy. Patient evaluation revealed a pancreatic neuroendocrine tumour. After surgical treatment of the underlying neoplasia, the patient recovered fully with resolution of the rheumatic disease.
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