Paraneoplastic Syndrome Presenting with Polymyalgia Rheumatica-like Accumulations on (18)F-fluorodeoxyglucose-Positron Emission Tomography/Computed Tomography

A 70-year-old woman presented with a fever and pain in both lower extremities and the right shoulder and right upper arm continuously for approximately 3 months. (18)F-fluorodeoxyglucose-positron emission tomography/computed tomography ((18)F-FDG/PET-CT) revealed the accumulation of FDG in the right...

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Detalles Bibliográficos
Autores principales: Umetsu, Ayaka, Shimizu, Toshimasa, Iwamoto, Naoki, Hashiguchi, Keiichi, Eguchi, Mizuna, Okamoto, Momoko, Endo, Yushiro, Tsuji, Sosuke, Takatani, Ayuko, Igawa, Takashi, Sumiyoshi, Remi, Koga, Tomohiro, Kawashiri, Shin-ya, Ichinose, Kunihiro, Tamai, Mami, Nakamura, Hideki, Origuchi, Tomoki, Kawakami, Atsushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465020/
https://www.ncbi.nlm.nih.gov/pubmed/30449806
http://dx.doi.org/10.2169/internalmedicine.1847-18
Descripción
Sumario:A 70-year-old woman presented with a fever and pain in both lower extremities and the right shoulder and right upper arm continuously for approximately 3 months. (18)F-fluorodeoxyglucose-positron emission tomography/computed tomography ((18)F-FDG/PET-CT) revealed the accumulation of FDG in the right shoulder, lumbar spinous processes, both ischial tuberosities, and both hips and greater trochanters, indicating polymyalgia rheumatica (PMR). In addition, upper gastrointestinal endoscopy revealed esophageal carcinoma. After endoscopic submucosal dissection was performed, her musculoskeletal symptoms spontaneously improved, and the (18)F-FDG/PET-CT findings decreased. In light of these findings, she was diagnosed with paraneoplastic syndrome. When atypical features of PMR, such as asymmetric symptoms occur, we should search for malignancies.

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