More Than Just a Case of Polymyalgia Rheumatica

  • João Pereira Derpartment A of Internal Medicine, Centro Hospitalar e Universitário de Coimbra
  • Gisela Eugénio Departmento of Rheumatology Centro Hospitalar e Universitário de Coimbra
  • Suzana Calretas Department A of Internal Medicine, Centro Hospitalar e Universitário de Coimbra
  • Rui Santos Department A of Internal Medicine, Centro Hospitalar e Universitário de Coimbra
  • Armando Carvalho Department A of Internal Medicine, Centro Hospitalar e Universitário de Coimbra

Keywords

paraneoplastic rheumatological syndromes, Polymyalgia rheumatica, cancer

Abstract

Malignant neoplasms are associated with a wide range of paraneoplastic rheumatological syndromes. These can be defined as remote effects of cancer, which are not caused by the tumor and its metastasis.
The authors describe the case of an 82-year-old man, who presented with a one-month history of pain, stiffness, and functional limitation of the scapular and pelvic girdles. Blood tests showed raised levels of inflammatory markers.
He was diagnosed with Polymyalgia Rheumatica, but the lack of response to corticosteroids led to the suspicion of an alternative diagnosis, like, for example, an occult neoplasm. Although patient evaluation was initially normal, five months later he developed macroscopic haematuria and was diagnosed with bladder and prostate carcinomas. After surgical treatment, the patient fully recovered from his rheumatological syndrome.

 

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  • Published: 2016-04-12

    Issue: Vol 3 No 3 (view)

    Section: Articles

    How to cite:
    Pereira, J., Eugénio, G., Calretas, S., Santos, R., & Carvalho, A. (2016). More Than Just a Case of Polymyalgia Rheumatica. European Journal of Case Reports in Internal Medicine, 3(3). https://doi.org/https://doi.org/10.12890/2016_000374