Malignant Peritoneal Mesothelioma Presenting with Polymyalgia Rheumatica-like Syndrome

Yuka Ide; Tsunetsugu Yuki; Yasuyuki Taooka; Yusuke Higashi; Yoshiro Tachiyama

doi:10.2169/internalmedicine.4809-20

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Malignant Peritoneal Mesothelioma Presenting with Polymyalgia Rheumatica-like Syndrome

Yuka Ide, Tsunetsugu Yuki, Yasuyuki Taooka, Yusuke Higashi, Yoshiro Tachiyama

著者情報

キーワード: asbestos, malignant peritoneal mesothelioma, polymyalgia rheumatic, paraneoplastic syndrome

ジャーナルオープンアクセス早期公開

論文ID: 4809-20

DOI https://doi.org/10.2169/internalmedicine.4809-20

この記事には本公開記事があります。

The final version of this article is now available: Vol. 59 (2020), No. 20 pp. 2629-2632

詳細

抄録

A 30-year-old man was admitted to our hospital because of pain in his proximal extremities. The pain mimicked polymyalgia rheumatica (PMR) and it temporarily improved by a low dose of glucocorticoids, but his symptoms relapsed many times. After six years of glucocorticoid treatment, he developed abdominal pain and ascites, for which he was diagnosed with malignant peritoneal mesothelioma (MPM). His PMR-like symptoms improved with cytoreductive surgery and chemotherapy for MPM. Finally, we diagnosed this PMR-like syndrome to be paraneoplastic syndrome with MPM. Although cases of MPM complicated by PMR-like syndrome are rare, MPM should be taken into account in the differential diagnosis.

責任著者(Corresponding author)

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