1.Dermatomyositis Associated with Cancer of Unknown Primary Site.
Hyung Il KIM ; Sung Hoon CHUNG ; Jun Eul HWANG ; Sang Ho KIM ; Jae Sook AHN ; Duk Hwan YANG ; Yoe Kyeoung KIM ; Sook Jung YUN ; Sang Hee CHO ; Je Jung LEE ; Ik Joo CHUNG ; Hyeoung Joon KIM
Journal of Korean Medical Science 2007;22(Suppl):S174-S177
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.
Carcinoma, Squamous Cell/complications/diagnosis/pathology
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Dermatomyositis/*complications/diagnosis/pathology/therapy
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Female
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Humans
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Middle Aged
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Neoplasms, Unknown Primary/*complications/diagnosis/pathology
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