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Paraneoplastic Necrotizing Myopathy Post Lumpectomy and Chemotherapy for Early Breast Cancer

Our case report describes a 60-year-old female patient with a past medical history of Stage IB breast cancer, status post lumpectomy and adjuvant chemotherapy, admitted to our hospital with the chief complaints of fever, myalgia, and muscle weakness. A physical exam revealed proximal muscle weakness...

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Detalles Bibliográficos
Autores principales: Venkatesh, Priyanka, Hitchcock, Sophia M, Jacobsohn, Jamie, Kasi, Anup
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7657370/
https://www.ncbi.nlm.nih.gov/pubmed/33194483
http://dx.doi.org/10.7759/cureus.10916
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author Venkatesh, Priyanka
Hitchcock, Sophia M
Jacobsohn, Jamie
Kasi, Anup
author_facet Venkatesh, Priyanka
Hitchcock, Sophia M
Jacobsohn, Jamie
Kasi, Anup
author_sort Venkatesh, Priyanka
collection PubMed
description Our case report describes a 60-year-old female patient with a past medical history of Stage IB breast cancer, status post lumpectomy and adjuvant chemotherapy, admitted to our hospital with the chief complaints of fever, myalgia, and muscle weakness. A physical exam revealed proximal muscle weakness and a facial rash. A full workup was done, and the muscle biopsy showed evidence of a necrotizing myopathic process, which confirmed our diagnosis. This led to a diagnosis of necrotizing myopathy, deemed to be paraneoplastic after other possible differentials were ruled out. The patient showed improvement after a five-day course of intravenous immunoglobulin (IVIG) and high-dose steroids. Necrotizing myopathy, as a paraneoplastic process, has been scarcely described. In the context of our case, we review the characteristics and relevant existing literature about paraneoplastic necrotizing myopathy as well as emphasize the need to include it as a differential in the setting of malignancy.
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spelling pubmed-76573702020-11-12 Paraneoplastic Necrotizing Myopathy Post Lumpectomy and Chemotherapy for Early Breast Cancer Venkatesh, Priyanka Hitchcock, Sophia M Jacobsohn, Jamie Kasi, Anup Cureus Internal Medicine Our case report describes a 60-year-old female patient with a past medical history of Stage IB breast cancer, status post lumpectomy and adjuvant chemotherapy, admitted to our hospital with the chief complaints of fever, myalgia, and muscle weakness. A physical exam revealed proximal muscle weakness and a facial rash. A full workup was done, and the muscle biopsy showed evidence of a necrotizing myopathic process, which confirmed our diagnosis. This led to a diagnosis of necrotizing myopathy, deemed to be paraneoplastic after other possible differentials were ruled out. The patient showed improvement after a five-day course of intravenous immunoglobulin (IVIG) and high-dose steroids. Necrotizing myopathy, as a paraneoplastic process, has been scarcely described. In the context of our case, we review the characteristics and relevant existing literature about paraneoplastic necrotizing myopathy as well as emphasize the need to include it as a differential in the setting of malignancy. Cureus 2020-10-12 /pmc/articles/PMC7657370/ /pubmed/33194483 http://dx.doi.org/10.7759/cureus.10916 Text en Copyright © 2020, Venkatesh et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Venkatesh, Priyanka
Hitchcock, Sophia M
Jacobsohn, Jamie
Kasi, Anup
Paraneoplastic Necrotizing Myopathy Post Lumpectomy and Chemotherapy for Early Breast Cancer
title Paraneoplastic Necrotizing Myopathy Post Lumpectomy and Chemotherapy for Early Breast Cancer
title_full Paraneoplastic Necrotizing Myopathy Post Lumpectomy and Chemotherapy for Early Breast Cancer
title_fullStr Paraneoplastic Necrotizing Myopathy Post Lumpectomy and Chemotherapy for Early Breast Cancer
title_full_unstemmed Paraneoplastic Necrotizing Myopathy Post Lumpectomy and Chemotherapy for Early Breast Cancer
title_short Paraneoplastic Necrotizing Myopathy Post Lumpectomy and Chemotherapy for Early Breast Cancer
title_sort paraneoplastic necrotizing myopathy post lumpectomy and chemotherapy for early breast cancer
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7657370/
https://www.ncbi.nlm.nih.gov/pubmed/33194483
http://dx.doi.org/10.7759/cureus.10916
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