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Polymyalgia rheumatica and colon malignacy: case report
Tatjana Kehler1, Bozidar Curković
1Hospital for Cardial, Pulmonal and Rheumatic Rehabilitation, Talassotherapia, Opatija, Croatia.
Abstract:
Polymyalgia rheumatica (PMR) is a relatively common disorder in the elderly. Whereas the relationship between polymyalgia rheumatica and giant cell arteritis (GCA) is well recognized, there is still controversy about PMR and malignancy. We are presenting a patient with PMR and adenocarcinoma of the sygmoid colon and hypothesize a paraneoplastic relationship.
Insights
Polymyalgia rheumatica (PMR) is common in older adults. This case study explores a potential paraneoplastic link between PMR and sigmoid colon adenocarcinoma, suggesting malignancy may trigger inflammatory symptoms.
Area of Science:
- Rheumatology
- Oncology
- Clinical Medicine
Background:
- Polymyalgia rheumatica (PMR) is a prevalent inflammatory condition in the elderly.
- The association between PMR and giant cell arteritis (GCA) is established.
- A controversial link between PMR and underlying malignancy remains under investigation.
Observation:
- A case of polymyalgia rheumatica (PMR) is presented in conjunction with sigmoid colon adenocarcinoma.
- This presentation suggests a potential paraneoplastic syndrome.
Findings:
- The study hypothesizes a paraneoplastic relationship between PMR and sigmoid colon cancer.
- This hypothesis posits that the malignancy may be inducing the inflammatory symptoms characteristic of PMR.
Implications:
- Recognizing a potential paraneoplastic link could improve diagnostic pathways for PMR patients.
- Further research into the association between PMR and malignancy is warranted.
- This case highlights the importance of considering occult malignancies in elderly patients presenting with PMR.
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