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KMID : 0371320080740020143
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Journal of the Korean Surgical Society
2008 Volume.74 No. 2 p.143 ~ p.145
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Dermatomyositis in a Breast Cancer Patient
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Sul Young-Hoon
Kim Hye-Gyong
Lee Jin-Sun
Kim Je-Ryong
Chang Eil-Sung
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Abstract
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Cancer-associated rheumatic disorders are sometimes present concurrently with a tumor, but are not recognized initially. We report a case of dermatomyositis with breast cancer. A 46 year-old woman diagnosed with breast cancer with axillary lymph node metastasis had been treated by neoadjuvant chemotherapy and a lumpectomy with axillary lymph node dissection. She presented with a red rash on her face, eyelids, neck, and shoulders. A skin biopsy did not rule out dermatomyositis. Laboratory values were within normal limits, except muscle enzymes (Creatine kinase). Electromyography showed the presence of early myopathy. A PET CT-scan showed muscle uptake in left infraspinatus, r/o myositis. No abnormalities were presented in the muscle biopsy. Symptoms were improved by steroid therapy. (J Korean Surg Soc 2008;74:143-145)
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KEYWORD
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Dermatomyositis, Breast cancer, Skin biopsy, Muscle biopsy, Steroid therapy
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