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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Society of Internal Medicine
2020
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Materias: | |
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. |
format | Online Article Text |
id | pubmed-7662062 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Japanese Society of Internal Medicine |
record_format | MEDLINE/PubMed |
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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