Paraneoplastic Syndrome Presenting with Polymyalgia Rheumatica-like Accumulations on 18F-fluorodeoxyglucose-Positron Emission Tomography/Computed Tomography.
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.
['Umetsu|Ayaka|A|', 'Shimizu|Toshimasa|T|', 'Iwamoto|Naoki|N|', 'Hashiguchi|Keiichi|K|', 'Eguchi|Mizuna|M|', 'Okamoto|Momoko|M|', 'Endo|Yushiro|Y|', 'Tsuji|Sosuke|S|', 'Takatani|Ayuko|A|', 'Igawa|Takashi|T|', 'Sumiyoshi|Remi|R|', 'Koga|Tomohiro|T|', 'Kawashiri|Shin-Ya|SY|', 'Ichinose|Kunihiro|K|', 'Tamai|Mami|M|', 'Nakamura|Hideki|H|', 'Origuchi|Tomoki|T|', 'Kawakami|Atsushi|A|']
D000368:Aged D003937:Diagnosis, Differential D004938:Esophageal Neoplasms D004945:Esophagoscopy D005260:Female D019788:Fluorodeoxyglucose F18 D006801:Humans D010257:Paraneoplastic Syndromes D011111:Polymyalgia Rheumatica D000072078:Positron Emission Tomography Computed Tomography D019275:Radiopharmaceuticals
paraneoplastic syndrome 18F-FDG/PET-CT polymyalgia rheumatica