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Dtsch Med Wochenschr ; 138(6): 266, 2013 Feb.
Artigo em Alemão | MEDLINE | ID: mdl-23361349

RESUMO

HISTORY AND ADMISSION FINDINGS: We report on a 58-year-old patient with weight loss, weakness and polyarthralgia. She reported of recurrent drops, painful joints and muscle weakness. INVESTIGATIONS: The patient had swollen joints, clubbing and cachexia. The radiogram of the hands and feet showed a hypertrophic oseoarthropathy. In further investigations we found a tumor in the upper left lung. The histology findings showed a adenocarcinoma of the lung. DIAGNOSIS, TREATMENT AND COURSE: The diagnosis of a secondary hypertrophic osteoarthropathy (Pierre Marie-Bamberger syndrome) due to a adenocarcinoma of the lung was made. The patient refused a radiochemotherapy and decided to go on vacation. Further course is unknown. CONCLUSIONS: Arthralgia is a common symptom for medical consultation. Pierre Marie-Bamberger syndrome is a rare cause of paraneoplastic arthritis. Notice that unspecific symptoms like weakness, weight loss and arthritis may result from paraneoplastic tumor disease.


Assuntos
Adenocarcinoma/diagnóstico , Artralgia/etiologia , Edema/diagnóstico , Edema/etiologia , Neoplasias Pulmonares/diagnóstico , Osteoartropatia Hipertrófica Secundária/etiologia , Artralgia/diagnóstico , Feminino , Humanos , Pessoa de Meia-Idade , Debilidade Muscular/etiologia , Osteoartropatia Hipertrófica Secundária/diagnóstico , Perda de Peso
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