Paraneoplastic Polymyalgia Rheumatica as Manifestation of a Pancreatic Neuroendocrine Tumour
  • Luís Felipe Linhares Santos
    Department of Internal Medicine, Coimbra University Hospital, Coimbra
  • Cláudia Susana Teixeira Graça Fernandes
    Department of Infectious Diseases, Coimbra University Hospital, Coimbra
  • António Pedro Mendes Duarte Rodrigues Teotónio
    Department of Internal Medicine, Coimbra University Hospital, Coimbra

Keywords

Paraneoplastic syndrome, polymyalgia rheumatica, cancer

Abstract

Autoimmune diseases may present as paraneoplastic syndrome. This is especially recognized in the case of polymyositis/dermatomyositis, but is less common in polymyalgia rheumatica. The authors describe the case of a 73-year-old man who presented with pain and stiffness of the scapular and pelvic girdles associated with asthenia lasting for a few weeks. The presence of therapeutic resistance and other atypical features directed the investigation towards the search of an occult malignancy. Patient evaluation revealed a pancreatic neuroendocrine tumour. After surgical treatment of the underlying neoplasia, the patient recovered fully with resolution of the rheumatic disease.

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    Published: 2014-11-21
    Issue: Vol. 1 (2014) (view)

    How to cite:
    1.
    Linhares Santos LF, Teixeira Graça Fernandes CS, Mendes Duarte Rodrigues Teotónio AP. Paraneoplastic Polymyalgia Rheumatica as Manifestation of a Pancreatic Neuroendocrine Tumour. EJCRIM 2014;1 doi:10.12890/2014_000146.