Paraneoplastic Polymyalgia Rheumatica as Manifestation of a Pancreatic Neuroendocrine Tumour

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 gir...

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Bibliographic Details
Published inEuropean journal of case reports in internal medicine Vol. 1; no. 1
Main Authors Linhares Santos, Luís, Teixeira Graça Fernandes, Cláudia, Mendes Duarte Rodrigues Teotónio, António
Format Journal Article
LanguageEnglish
Published SMC MEDIA SRL 21.11.2014
Subjects
Paraneoplastic syndrome, polymyalgia rheumatica, cancer
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Summary: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.
ISSN:2284-2594
2284-2594
DOI:10.12890/2014_000146