Palmar Fasciitis and Polyarthritis Syndrome Associated with Ovarian Carcinoma : A Case Report.
- Author:
Seong Wan KIM
1
;
Moon Sang CHUNG
;
Goo Hyun BAEK
;
Suk Ha JEON
;
Sang Ho KWAK
;
Hyun Sik GONG
Author Information
1. Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul, Korea. hsgong@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Palmar fasciitis;
Polyarthritis;
Paraneoplastic syndrome;
Ovarian cancer
- MeSH:
Accidents, Traffic;
Arthritis;
Arthritis, Rheumatoid;
Contracture;
Diagnosis, Differential;
Fasciitis;
Female;
Fibrosis;
Hand;
Humans;
Ovarian Neoplasms;
Paraneoplastic Syndromes
- From:Journal of the Korean Society for Surgery of the Hand
2009;14(1):33-35
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Palmar fasciitis and polyarthritis syndrome (PFPAS) is an uncommon paraneoplastic syndrome characterized by rapidly progressive flexion contracture of both hands, inflammatory fasciitis, fibrosis and generalized inflammatory arthritis. We report a case of PFPAS associated with ovarian carcinoma, which was initially misdiagnosed as seronegative rheumatoid arthritis. A correct diagnosis was made after the patient underwent surgery for a pelvic tumor, which was incidentally found on a CT scan that she had taken after sustaining a traffic accident. PFPAS is one of differential diagnoses for progressive flexion contracture of both hands presenting to hand surgeons, and a careful oncologic examination should be considered in a female patient with unexplained hand pain, digital contracture and generalized arthritis
