Rising Erythrocyte Sedimentation Rate in a Patient With Treated Polymyalgia Rheumatica: Colon Cancer as an Accidental Association Versus Paraneoplastic Syndrome

Abstract

FIGURE 1. Direct immunofluorescence microscopy with anti-IgA staining. Global deposition with mesangial and capillary loops granular pattern.

More on Polymyalgia Rheumatica (PMR) as a Paraneoplastic Rheumatic Syndrome in the Elderly (Bicytopenia and PMR Preceding Acute Myeloid Leukemia)

“…[5][6][7] However, absence of malignancy in these series may be due, perhaps, to a prior selection of patients presenting with polymyalgic symptoms. 1,4,9 The prevalence of this association is very low, and therefore an extensive searching for underlying malignancy in the evaluation of rheumatic disorders is not cost-efficient. 8 In addition, a causal relationship has been suggested in other reports, mainly from rare cases, that demonstrate resolution of PMR after treatment of the tumor and return with its recidive, following a clinical course parallel to neoplasia.…”