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KMID : 0621520090140010033
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Journal of the Korean Society for Surgery of the Hand
2009 Volume.14 No. 1 p.33 ~ p.35
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Palmar Fasciitis and Polyarthritis Syndrome Associated with Ovarian Carcinoma - A Case Report -
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Kim Seong-Wan
Chung Moon-Sang
Baek Goo-Hyun
Jeon Suk-Ha
Kwak Sang-Ho
Gong Hyun-Sik
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Abstract
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Palmar fasciitis and polyarthritis syndrome (PFPAS) is an uncommon paraneoplastic syndrome characterized by rapidly progressive flexion contracture of both hands, inflammatory fasciitis, fibrosis and generalized inflammatory arthritis. We report a case of PFPAS associated with ovarian carcinoma, which was initially misdiagnosed as seronegative rheumatoid arthritis. A correct diagnosis was made after the patient underwent surgery for a pelvic tumor, which was incidentally found on a CT scan that she had taken after sustaining a traffic accident. PFPAS is one of differential diagnoses for progressive flexion contracture of both hands presenting to hand surgeons, and a careful oncologic examination should be considered in a female patient with unexplained hand pain, digital contracture and generalized arthritis.
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KEYWORD
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Palmar fasciitis, Polyarthritis, Paraneoplastic syndrome, Ovarian cancer
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