Malignant Peritoneal Mesothelioma Presenting with Polymyalgia Rheumatica-like Syndrome

A 30-year-old man was admitted to our hospital because of pain in his proximal extremities. The pain mimicked polymyalgia rheumatica (PMR) and it temporarily improved by a low dose of glucocorticoids, but his symptoms relapsed many times. After six years of glucocorticoid treatment, he developed abd...

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Autores principales: Ide, Yuka, Yuki, Tsunetsugu, Taooka, Yasuyuki, Higashi, Yusuke, Tachiyama, Yoshiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7662062/
https://www.ncbi.nlm.nih.gov/pubmed/32581164
http://dx.doi.org/10.2169/internalmedicine.4809-20
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author Ide, Yuka
Yuki, Tsunetsugu
Taooka, Yasuyuki
Higashi, Yusuke
Tachiyama, Yoshiro
author_facet Ide, Yuka
Yuki, Tsunetsugu
Taooka, Yasuyuki
Higashi, Yusuke
Tachiyama, Yoshiro
author_sort Ide, Yuka
collection PubMed
description A 30-year-old man was admitted to our hospital because of pain in his proximal extremities. The pain mimicked polymyalgia rheumatica (PMR) and it temporarily improved by a low dose of glucocorticoids, but his symptoms relapsed many times. After six years of glucocorticoid treatment, he developed abdominal pain and ascites, for which he was diagnosed with malignant peritoneal mesothelioma (MPM). His PMR-like symptoms improved with cytoreductive surgery and chemotherapy for MPM. Finally, we diagnosed this PMR-like syndrome to be paraneoplastic syndrome with MPM. Although cases of MPM complicated by PMR-like syndrome are rare, MPM should be taken into account in the differential diagnosis.
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spelling pubmed-76620622020-11-25 Malignant Peritoneal Mesothelioma Presenting with Polymyalgia Rheumatica-like Syndrome Ide, Yuka Yuki, Tsunetsugu Taooka, Yasuyuki Higashi, Yusuke Tachiyama, Yoshiro Intern Med Case Report A 30-year-old man was admitted to our hospital because of pain in his proximal extremities. The pain mimicked polymyalgia rheumatica (PMR) and it temporarily improved by a low dose of glucocorticoids, but his symptoms relapsed many times. After six years of glucocorticoid treatment, he developed abdominal pain and ascites, for which he was diagnosed with malignant peritoneal mesothelioma (MPM). His PMR-like symptoms improved with cytoreductive surgery and chemotherapy for MPM. Finally, we diagnosed this PMR-like syndrome to be paraneoplastic syndrome with MPM. Although cases of MPM complicated by PMR-like syndrome are rare, MPM should be taken into account in the differential diagnosis. The Japanese Society of Internal Medicine 2020-06-23 2020-10-15 /pmc/articles/PMC7662062/ /pubmed/32581164 http://dx.doi.org/10.2169/internalmedicine.4809-20 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Ide, Yuka
Yuki, Tsunetsugu
Taooka, Yasuyuki
Higashi, Yusuke
Tachiyama, Yoshiro
Malignant Peritoneal Mesothelioma Presenting with Polymyalgia Rheumatica-like Syndrome
title Malignant Peritoneal Mesothelioma Presenting with Polymyalgia Rheumatica-like Syndrome
title_full Malignant Peritoneal Mesothelioma Presenting with Polymyalgia Rheumatica-like Syndrome
title_fullStr Malignant Peritoneal Mesothelioma Presenting with Polymyalgia Rheumatica-like Syndrome
title_full_unstemmed Malignant Peritoneal Mesothelioma Presenting with Polymyalgia Rheumatica-like Syndrome
title_short Malignant Peritoneal Mesothelioma Presenting with Polymyalgia Rheumatica-like Syndrome
title_sort malignant peritoneal mesothelioma presenting with polymyalgia rheumatica-like syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7662062/
https://www.ncbi.nlm.nih.gov/pubmed/32581164
http://dx.doi.org/10.2169/internalmedicine.4809-20
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