A can of red herrings

Raja, Rafi; Lamont, Duncan; Yung, Anthony; Solanki, Kamal

doi:10.1111/j.1756-185x.2010.01535.x

Cited by 7 publications

(5 citation statements)

References 29 publications

(51 reference statements)

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“…The latest report found in literature lay to Gamage et al [36] who described the case of paraneoplastic polyarthritis in a patient with diffuse large B cell lymphoma, and Raja et al [37] who described the only case of a lymphoid granulomatosis responsible of articular paraneoplastic involvement.…”

Section: Hematological Malignanciesmentioning

confidence: 99%

Paraneoplastic arthritides: an up-to-date case-based systematic review

Khayyat¹,

Conticini²,

Falsetti³

et al. 2022

Reumatologia

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Among the rheumatic diseases whose symptoms are more often associated with the possibility of cancer and other malignancies are systemic sclerosis, dermatomyositis and rheumatic polymyalgia. However, a differential diagnosis should be performed in each case of non-typical rheumatic disease and/or other neoplastic disease risk factors. The article’s aim was based on a literature review of this subject and presentation own a case description and discussion about arthritis as a paraneoplastic syndrome. The conclusions of our analysis were as follows: more often paraneoplastic arthritis occurs in men, in ages higher than 50 years old, in patients who poorly respond to treatment of arthritis with polyarticular symmetrical involvement of the limbs, seronegative type of inflammatory joint disease. In this group of patients, complete remission after treatment of the primary tumor and recurrence of the symptoms in the presence of metastasis was observed.

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Section: Hematological Malignanciesmentioning

confidence: 99%

Paraneoplastic arthritides: an up-to-date case-based systematic review

Khayyat¹,

Conticini²,

Falsetti³

et al. 2022

Reumatologia

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“…The knee joint is the most commonly involved site in systemic NHL [66,72] although involvement of the shoulder, [69] sternoclavicular or elbow joints [68,73] also occurs. Occasionally, RF and anti-CCP antibody positivity may occur, leading to diagnostic confusion [74].…”

Section: Clinical Aspectsmentioning

confidence: 99%

Musculoskeletal complications of haematological disease

et al. 2015

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Rheumatological manifestations complicate many benign and malignant blood disorders. Significant advances in haematology, with improved diagnostic techniques and newer musculoskeletal imaging, have occurred in the past two decades. This review focuses on the interrelationship between the major haematological diseases (haemochromatosis, haemophilia, sickle cell disease, thalassaemia, leukaemia, lymphoma, myelodysplastic syndromes, multiple myeloma and cryoglobulinaemia) and rheumatic manifestations.

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“…It affects more often elderly men (male/female ratio of 1.7:1 and a median age of onset of 54 years) and was classically described as a seronegative and non-erosive asymmetrical oligo-polyarthritis involving most frequently the knees, ankles, wrists, and hands (5)(6)(7). Recently, a symmetric polyarthritis indistinguishable from rheumatoid arthritis (RA) as a presenting feature of PA has been documented, and isolated case reports of PA with rheumatoid factor (RF) and/or anticyclic citrullinated peptide antibody (ACPA) positivity have been published (4,(8)(9)(10)(11). These data suggest that arthritis' pattern and serology may not be entirely reliable in the identification of possible cases of PA (4).…”

Section: Introductionmentioning

confidence: 99%

Gastric Adenocarcinoma Presenting as a Rheumatoid Factor and Anti-cyclic Citrullinated Protein Antibody-Positive Polyarthritis: A Case Report and Review of Literature

Silvério-António

Parlato²,

Martins

et al. 2021

Front. Med.

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A 64-year-old male presented with a 6-month history of symmetric polyarthritis involving proximal interphalangeal joints and metacarpophalangeal joints of the hands, wrists, and ankles. Associated symptoms included vomiting, progressive fatigue, and weight loss. Laboratory results showed microcytic anemia, leukocytosis, thrombocytosis, elevated C-reactive protein and erythrocyte sedimentation rate, and rheumatoid factor (RF) and anti-cyclic citrullinated protein (ACPA) antibody positivity. Joints radiographs were normal, without erosions. Upper endoscopy and gastric endoscopic ultrasonography showed a gastric adenocarcinoma with lymphatic involvement. Intraoperatively, peritoneal carcinomatosis was documented, and the patient started palliative chemotherapy. A paraneoplastic seropositive arthritis was assumed, and treatment with low-dose prednisolone and hydroxychloroquine was started. Arthritis remission was achieved and sustained up to 18 months of follow-up, although gastric cancer progression was documented. We describe a unique phenotype of paraneoplastic arthritis (PA) presenting as a seropositive (RF and ACPA positivity) rheumatoid arthritis (RA) with a good response to both low dose corticosteroids and hydroxychloroquine therapy. We also review the literature of PA, mostly the RA-like pattern, and the association between PA and ACPA positivity. This case highlights the importance of considering underlying cancer in elderly male patients, presenting with polyarthritis and systemic symptoms, even in those with ACPA-positive RA-like arthritis.

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A can of red herrings

Cited by 7 publications

References 29 publications

Paraneoplastic arthritides: an up-to-date case-based systematic review

Paraneoplastic arthritides: an up-to-date case-based systematic review

Musculoskeletal complications of haematological disease

Gastric Adenocarcinoma Presenting as a Rheumatoid Factor and Anti-cyclic Citrullinated Protein Antibody-Positive Polyarthritis: A Case Report and Review of Literature

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