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Paraneoplastic Syndrome Presenting with Polymyalgia Rheumatica-like Accumulations on 18F-fluorodeoxyglucose-Positron Emission Tomography/Computed Tomography.
Umetsu, Ayaka; Shimizu, Toshimasa; Iwamoto, Naoki; Hashiguchi, Keiichi; Eguchi, Mizuna; Okamoto, Momoko; Endo, Yushiro; Tsuji, Sosuke; Takatani, Ayuko; Igawa, Takashi; Sumiyoshi, Remi; Koga, Tomohiro; Kawashiri, Shin-Ya; Ichinose, Kunihiro; Tamai, Mami; Nakamura, Hideki; Origuchi, Tomoki; Kawakami, Atsushi.
Affiliation
  • Umetsu A; Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
  • Shimizu T; Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
  • Iwamoto N; Clinical Research Center, Nagasaki University Hospital, Japan.
  • Hashiguchi K; Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
  • Eguchi M; Department of Endoscopy, Nagasaki University Hospital, Japan.
  • Okamoto M; Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
  • Endo Y; Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
  • Tsuji S; Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
  • Takatani A; Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
  • Igawa T; Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
  • Sumiyoshi R; Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
  • Koga T; Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
  • Kawashiri SY; Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
  • Ichinose K; Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
  • Tamai M; Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
  • Nakamura H; Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
  • Origuchi T; Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
  • Kawakami A; Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Intern Med ; 58(6): 861-864, 2019 Mar 15.
Article in En | MEDLINE | ID: mdl-30449806
ABSTRACT
A 70-year-old woman presented with a fever and pain in both lower extremities and the right shoulder and right upper arm continuously for approximately 3 months. 18F-fluorodeoxyglucose-positron emission tomography/computed tomography (18F-FDG/PET-CT) revealed the accumulation of FDG in the right shoulder, lumbar spinous processes, both ischial tuberosities, and both hips and greater trochanters, indicating polymyalgia rheumatica (PMR). In addition, upper gastrointestinal endoscopy revealed esophageal carcinoma. After endoscopic submucosal dissection was performed, her musculoskeletal symptoms spontaneously improved, and the 18F-FDG/PET-CT findings decreased. In light of these findings, she was diagnosed with paraneoplastic syndrome. When atypical features of PMR, such as asymmetric symptoms occur, we should search for malignancies.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Paraneoplastic Syndromes / Polymyalgia Rheumatica / Esophageal Neoplasms / Radiopharmaceuticals / Fluorodeoxyglucose F18 / Positron Emission Tomography Computed Tomography Type of study: Diagnostic_studies Limits: Aged / Female / Humans Language: En Journal: Intern Med Journal subject: MEDICINA INTERNA Year: 2019 Document type: Article Affiliation country: Japón
Fulltext
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Paraneoplastic Syndromes / Polymyalgia Rheumatica / Esophageal Neoplasms / Radiopharmaceuticals / Fluorodeoxyglucose F18 / Positron Emission Tomography Computed Tomography Type of study: Diagnostic_studies Limits: Aged / Female / Humans Language: En Journal: Intern Med Journal subject: MEDICINA INTERNA Year: 2019 Document type: Article Affiliation country: Japón