Aspects actuels de la polyarthrite aiguë paranéoplasique

Pfitzenmeyer, P.; Bielefeld, P.; Tavernier, Ch.; Besancenot, J.F.; Gaudet, M.

doi:10.1016/s0248-8663(05)81326-8

Cited by 25 publications

(7 citation statements)

References 12 publications

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“…In 1985, Caldwell and McCallum published the key features of cancer polyarthritis and suggested distinguishing features to aid in narrowing the differential [ 57 ]. Pfitzenmeyer et al [ 58 ] later added the absence of characteristic radiologic lesions to the list of typical features ( Box 1 ). These features have been supported by recent case reviews [ 2 , 3 , 8 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

Migrating Polyarthritis as a Feature of Occult Malignancy: 2 Case Reports and a Review of the Literature

Watson

O’Neill

Law

et al. 2015

Case Reports in Oncological Medicine

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Malignant disease may be associated with a wide variety of musculoskeletal syndromes. Rarely the musculoskeletal system can be indirectly affected by paraneoplastic phenomena, such as carcinomatous polyarthritis (CP). The differential diagnosis for CP is broad and is often a diagnosis of exclusion. CP often presents similarly to other forms of inflammatory arthritis, and a detailed history and physical examination can often distinguish CP from other more common causes of polyarticular arthritis. However serological tests such as rheumatoid factor (RF) and anti-citrullinated peptide (anti-CCP) antibody positivity, while rare, can be misleading. Clinical awareness and suspicion are paramount in achieving an accurate diagnosis and early detection of an occult neoplasm is critical for prompt management and therapy. We report two cases presenting with this unique clinical phenotype associated with paraneoplastic polyarthropathy and review the literature.

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Section: Discussionmentioning

confidence: 99%

Migrating Polyarthritis as a Feature of Occult Malignancy: 2 Case Reports and a Review of the Literature

Watson

O’Neill

Law

et al. 2015

Case Reports in Oncological Medicine

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“…Accordingly, the clinical presentation of cancer polyarthritis is variable, but several features have been suggested to warrant suspicion of the presence of an underlying malignancy, such as late age at the onset of arthritis, asymmetric joint disease, abrupt onset, predominant involvement of the legs with sparing of the wrists and small joints of the hands, and absence of rheumatoid nodules, rheumatoid factor, and of a family history of rheumatoid arthritis (Table II) (2,19,30,32).…”

Section: Cancer Polyarthritismentioning

confidence: 99%

Cancer polyarthritis resembling rheumatoid arthritis as a first sign of hidden neoplasms: Report of two cases and review of the literature

Stummvoll¹

2001

Scandinavian Journal of Rheumatology

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Recent onset arthritis reminiscent of rheumatoid arthritis (RA) may be an early manifestation of an occult malignancy. In this report, we present two patients with cancer-associated polyarthritis. Both suffered from symmetric polyarthritis when initially visiting their physicians and did not achieve relief when treated with non-steroidal anti-rheumatic drugs (NSAIDs). In both patients, subsequent work-up led to the diagnosis of an underlying malignancy. One patient suffered from small cell lung cancer (SCLC), while the other was diagnosed with adenocarcinoma of the colon. In both, the arthritis spontaneously disappeared after successful treatment of the malignancy, i.e. chemotherapy and tumor resection, respectively. We discuss these cases in view of the existing literature, since awareness of the entity of cancer polyarthritis is necessary for its timely treatment and may potentially be life-saving.

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“…Paraneoplastic syndromes are present in approximately 10% of cancers [2]. About paraneoplastic arthritis, its incidence is high in the general population.…”

Section: Discussionmentioning

confidence: 99%

“…About paraneoplastic arthritis, its incidence is high in the general population. A review of the literature, some years ago, reveals 12 cases of patients in whom the paraneoplastic nature of polyarthritis appeared likely because of a parallelism between joint manifestations and cancer [2]. The most common sites of malignancy include the lung, the digestive tract, and the prostate.…”

Section: Discussionmentioning

confidence: 99%

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Paraneoplastic rheumatic syndromes: report of eight cases and review of literature

et al. 2011

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Malignant neoplasms are associated with a wide variety of paraneoplastic rheumatological syndromes. The paraneoplastic nature should be based on specific criteria. We report a series of eight cases of paraneoplastic rheumatic syndromes revealing an underlying neoplasia. Our series consists of six men and two women, with a mean age of 46.1 (20-69 years). The first case is a hypertrophic osteoarthropathy of Pierre Marie that occurred in a 20-year-old man 1 month after treatment for his nasopharyngeal carcinoma; the paraclinical examinations showed lung and bone metastasis. The second case is that of a bilateral shoulder-hand syndrome revealing an invasive squamous cell carcinoma of the cervix in a 63-year-old woman. The third case involved a 69-year-old patient who had surgery 2 years ago for prostate adenocarcinoma and presented with polymyalgia rheumatica revealing bone metastasis. We also report two cases of leukemia in adults revealed by polyarthritis. The sixth observation is that of a paraneoplastic scleroderma that occurred concomitantly with prostate cancer. The seventh case of an acute arthritis showed a B lymphoma. The eighth case is that of a 52-year-old patient who presented with inflammatory arthralgias, and digital clubbing revealing a squamous cell carcinoma of the skin. Paraneoplastic rheumatism remains a rare event, but knowledge of it is essential for early diagnosis of underlying cancer.

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Aspects actuels de la polyarthrite aiguë paranéoplasique

Cited by 25 publications

References 12 publications

Migrating Polyarthritis as a Feature of Occult Malignancy: 2 Case Reports and a Review of the Literature

Migrating Polyarthritis as a Feature of Occult Malignancy: 2 Case Reports and a Review of the Literature

Cancer polyarthritis resembling rheumatoid arthritis as a first sign of hidden neoplasms: Report of two cases and review of the literature

Paraneoplastic rheumatic syndromes: report of eight cases and review of literature

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