Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Wurzer, H; Brandstätter, G; Harnoncourt, K; Kullnig, P; Kleinert, R.
Paraneoplastic polymyositis associated with a renal carcinoma.
J Intern Med. 1993; 234(5):521-524
Doi: 10.1111/j.1365-2796.1993.tb00787.x
(- Case Report)
Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
- Kleinert Reinhold
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- Abstract:
- A 56-year-old patient was admitted to hospital because of difficulties in swallowing and in opening his mouth. The serological transaminases were increased. Over the next 6 weeks a bioptically proven polymyositis (more proximally located) caused a respiratory insufficiency which had to be treated by artificial respiration. A tetraplegia connected with a large increase of creatine-kinase was also seen. The general investigations were focused on malign processes with a particular search for bronchial carcinoma. At first a kidney cyst detected by ultrasound but was classified as harmless by several investigators. Finally, a computer tomogram of the abdomen demonstrated a cystic degenerated renal carcinoma, which had been cytologically tested also. The clinical course showed a typical aspect of a paraneoplastic syndrome: after extended nephrectomy a distinct regression of the musculary symptoms developed, but with the development of metastases the symptoms increased again. The interdependence of polymyositis and primary renal carcinoma would appear to be proven.
- Find related publications in this database (using NLM MeSH Indexing)
- Carcinoma, Renal Cell - complications
- Carcinoma, Transitional Cell - complications
- Humans - complications
- Kidney Neoplasms - complications
- Male - complications
- Middle Aged - complications
- Paraneoplastic Syndromes - etiology
- Polymyositis - etiology
- Find related publications in this database (Keywords)
- Paraneoplasia
- Polymyositis
- Renal Carcinoma