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KMID : 0388220040110020179
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Journal of the Korean Rheumatism Association
2004 Volume.11 No. 2 p.179 ~ p.182
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A Case of Oligoarthritis Associated with Gastric Adenocarcinoma
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Kim Choon-Wook
Min Sang-Jo
Kim Dong-Gyu
Oh Jee-Hyun
Ahn Kwang-Soon
Kim Hyeon-Jeong
Shin Hyun-Ju
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Abstract
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Malignancy may cause variable musculoskeletal symptoms which resermble connective tissue disorder. This symptoms as a fine sign of hidden neoplasm can precede the diagnosis of underlying malignancy. But only one case of stomach cancer associated with cancer arthritis was reported in the world. This fact is very interesting in Asia which has high prevalence of stomach cancer.
We experienced one case of gastric adenocarcinoma with oligoarthritis involving both knee and right elbow. A 48-year-old man was diagnosed stomach cancer by gastric endoscope and biopsy. After then, he complained pain, tendemess, heating sensation, swelling of both knee and right elbow with high fever. Both knee MRI showed abundant synovial effusion and soft tissue edema. Full dose of nonsteroidal anti-inflammatory drug was not effective to control fever and arthritis. But fever and arthritis were gone after resection of tumor.
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KEYWORD
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Cancer arthritis, Stomach cancer
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