A Case of Oligoarthritis Associated with Gastric Adenocarcinoma.
- Author:
Choon Wook KIM
1
;
Sang Jo MIN
;
Dong Kyu KIM
;
Ji Hyeon OH
;
Kwang Soon AN
;
Hyeon Jeong KIM
;
Hyeon Joo SIN
;
Jae Hyeon MOON
;
Choong Won LEE
Author Information
1. Department of Internal Medicine, Wallace Memorial Baptist Hospital, Busan, Korea. choong@wmbh.co.kr
- Publication Type:Case Report
- Keywords:
Cancer arthritis;
Stomach cancer
- MeSH:
Adenocarcinoma*;
Arthritis;
Asia;
Biopsy;
Connective Tissue;
Diagnosis;
Edema;
Elbow;
Endoscopes;
Fever;
Heating;
Hot Temperature;
Humans;
Knee;
Magnetic Resonance Imaging;
Middle Aged;
Prevalence;
Sensation;
Stomach Neoplasms
- From:The Journal of the Korean Rheumatism Association
2004;11(2):179-182
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Malignancy may cause variable musculoskeletal symptoms which resemble connective tissue disorder. This symptoms as a fine sign of hidden neoplasm can precede the diagnosis of underlying malignancy. But only one case of stomach cancer associated with cancer arthritis was reported in the world. This fact is very interesting in Asia which has high prevalence of stomach cancer. We experienced one case of gastric adenocarcinoma with oligoarthritis involving both knee and right elbow. A 48-year-old man was diagnosed stomach cancer by gastric endoscope and biopsy. After then, he complained pain, tenderness, heating sensation, swelling of both knee and right elbow with high fever. Both knee MRI showed abundant synovial effusion and soft tissue edema. Full dose of nonsteroidal anti-inflammatory drug was not effective to control fever and arthritis. But fever and arthritis were gone after resection of tumor.
