Dermatomyositis associated with cancer of unknown primary site.

Abstract:

:Dermatomyositis (DM) is an uncommon inflammatory myopathy with characteristic rash accompanying, or more often preceding, muscle weakness. There is a well-recognized association between DM and several cancers, such as ovarian cancer, breast cancer, melanoma, colon cancer, and non-Hodgkin lymphoma. We report the first case of cancer of unknown primary site associated with DM. A 62-yr-old woman presented to us with both shoulder painful swelling and facial edema. She was diagnosed previously as cancer of unknown primary site, histologically confirmed with squamous cell carcinoma in a pelvic mass. For the following days, she complained of erythematous face followed by progressive weakness of the proximal muscles of upper and lower limbs. The laboratory tests showed an increased muscle enzyme and acute phase reactants. The electromyogram showed the typical findings of DM. After the treatment with high dose steroid and methotrexate, the proximal motor weakness improved, and she received palliative radiation therapy.

journal_name

J Korean Med Sci

authors

Kim HI,Chung SH,Hwang JE,Kim SH,Ahn JS,Yang DH,Kim YK,Yun SJ,Cho SH,Lee JJ,Chung IJ,Kim HJ

doi

10.3346/jkms.2007.22.S.S174

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

S174-7

eissn

1011-8934

issn

1598-6357

pii

200709s174

journal_volume

22 Suppl

pub_type

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