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KMID : 0388220110180010032
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Journal of the Korean Rheumatism Association
2011 Volume.18 No. 1 p.32 ~ p.35
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A Case of Paraneoplastic Syndrome Associated with Pancreatic Cancer Presenting as Rheumatoid Arthritis
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Kim Young-Il
Choi Sun-Kyu
Lee Ho-Jun
Lee Kyung-Eun
Lee Sung-Ji
Seo Seong-Rye
Kim Tae-Jong
Park Yong-Wook
Lee Shin-Seok
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Abstract
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Paraneoplastic cancer polyarthritis is a very rare manifestation of musculoskeletal disorders associated with several solid and hematologic malignancies. We describe a 71-year- old woman who presented initially with an abrupt onset of rheumatoid arthritis-like symmetrical polyarthritis. The patient was diagnosed with pancreatic cancer with multiple hepatic metastases approximately six months later. Her symptoms of polyarthritis improved after the introduction of medication including non-steroidal anti-inflammatory drugs and disease modifying anti-rheumatic drugs. This case suggests that a hidden malignancy should always be considered in elderly patients, who present with an abrupt onset of symmetric polyarthritis for the first time in their life.
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KEYWORD
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Paraneoplastic polyarthritis, Rheumatoid arthritis
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