A Case of Localized Prostate Cancer Associated with Polymyalgia Rheumatica with Marked Symptomatic Improvement after Robot-Assisted Radical Prostatectomy

A 73-year-old man visited our hospital with chief complaints of fever of unknown origin and bilateral shoulder and hip joint pain. He was initially diagnosed with polymyalgia rheumatica (PMR). Although the patient was treated with prednisolone 15 mg/day, his PMR-related symptoms did not improve. Fur...

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Autores principales: Kawase, Makoto, Nakane, Keita, Namiki, Sanae, Takeuchi, Yasumichi, Ueda, Shota, Kawase, Kota, Nakai, Chie, Takeuchi, Shinichi, Kato, Daiki, Takai, Manabu, Iinuma, Koji, Fuwa, Masayuki, Saigo, Chiemi, Miyazaki, Tatsuhiko, Morita, Hiroyuki, Koie, Takuya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8536426/
https://www.ncbi.nlm.nih.gov/pubmed/34691800
http://dx.doi.org/10.1155/2021/8026883
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author Kawase, Makoto
Nakane, Keita
Namiki, Sanae
Takeuchi, Yasumichi
Ueda, Shota
Kawase, Kota
Nakai, Chie
Takeuchi, Shinichi
Kato, Daiki
Takai, Manabu
Iinuma, Koji
Fuwa, Masayuki
Saigo, Chiemi
Miyazaki, Tatsuhiko
Morita, Hiroyuki
Koie, Takuya
author_facet Kawase, Makoto
Nakane, Keita
Namiki, Sanae
Takeuchi, Yasumichi
Ueda, Shota
Kawase, Kota
Nakai, Chie
Takeuchi, Shinichi
Kato, Daiki
Takai, Manabu
Iinuma, Koji
Fuwa, Masayuki
Saigo, Chiemi
Miyazaki, Tatsuhiko
Morita, Hiroyuki
Koie, Takuya
author_sort Kawase, Makoto
collection PubMed
description A 73-year-old man visited our hospital with chief complaints of fever of unknown origin and bilateral shoulder and hip joint pain. He was initially diagnosed with polymyalgia rheumatica (PMR). Although the patient was treated with prednisolone 15 mg/day, his PMR-related symptoms did not improve. Further examination was performed as the patient was suspected of having paraneoplastic syndrome. Assessment results showed prostate cancer without metastases. After undergoing robot-assisted radical prostatectomy, the patient's PMR-related symptoms dramatically improved. Hence, the prednisolone dose was decreased to 4 mg/day. PCa may have triggered the development of PMR through the activation of immune-mediated systemic inflammatory responses.
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spelling pubmed-85364262021-10-23 A Case of Localized Prostate Cancer Associated with Polymyalgia Rheumatica with Marked Symptomatic Improvement after Robot-Assisted Radical Prostatectomy Kawase, Makoto Nakane, Keita Namiki, Sanae Takeuchi, Yasumichi Ueda, Shota Kawase, Kota Nakai, Chie Takeuchi, Shinichi Kato, Daiki Takai, Manabu Iinuma, Koji Fuwa, Masayuki Saigo, Chiemi Miyazaki, Tatsuhiko Morita, Hiroyuki Koie, Takuya Case Rep Urol Case Report A 73-year-old man visited our hospital with chief complaints of fever of unknown origin and bilateral shoulder and hip joint pain. He was initially diagnosed with polymyalgia rheumatica (PMR). Although the patient was treated with prednisolone 15 mg/day, his PMR-related symptoms did not improve. Further examination was performed as the patient was suspected of having paraneoplastic syndrome. Assessment results showed prostate cancer without metastases. After undergoing robot-assisted radical prostatectomy, the patient's PMR-related symptoms dramatically improved. Hence, the prednisolone dose was decreased to 4 mg/day. PCa may have triggered the development of PMR through the activation of immune-mediated systemic inflammatory responses. Hindawi 2021-10-15 /pmc/articles/PMC8536426/ /pubmed/34691800 http://dx.doi.org/10.1155/2021/8026883 Text en Copyright © 2021 Makoto Kawase et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kawase, Makoto
Nakane, Keita
Namiki, Sanae
Takeuchi, Yasumichi
Ueda, Shota
Kawase, Kota
Nakai, Chie
Takeuchi, Shinichi
Kato, Daiki
Takai, Manabu
Iinuma, Koji
Fuwa, Masayuki
Saigo, Chiemi
Miyazaki, Tatsuhiko
Morita, Hiroyuki
Koie, Takuya
A Case of Localized Prostate Cancer Associated with Polymyalgia Rheumatica with Marked Symptomatic Improvement after Robot-Assisted Radical Prostatectomy
title A Case of Localized Prostate Cancer Associated with Polymyalgia Rheumatica with Marked Symptomatic Improvement after Robot-Assisted Radical Prostatectomy
title_full A Case of Localized Prostate Cancer Associated with Polymyalgia Rheumatica with Marked Symptomatic Improvement after Robot-Assisted Radical Prostatectomy
title_fullStr A Case of Localized Prostate Cancer Associated with Polymyalgia Rheumatica with Marked Symptomatic Improvement after Robot-Assisted Radical Prostatectomy
title_full_unstemmed A Case of Localized Prostate Cancer Associated with Polymyalgia Rheumatica with Marked Symptomatic Improvement after Robot-Assisted Radical Prostatectomy
title_short A Case of Localized Prostate Cancer Associated with Polymyalgia Rheumatica with Marked Symptomatic Improvement after Robot-Assisted Radical Prostatectomy
title_sort case of localized prostate cancer associated with polymyalgia rheumatica with marked symptomatic improvement after robot-assisted radical prostatectomy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8536426/
https://www.ncbi.nlm.nih.gov/pubmed/34691800
http://dx.doi.org/10.1155/2021/8026883
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