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Dtsch Med Wochenschr. 2013 Feb;138(6):266. doi: 10.1055/s-0032-1332841. Epub 2013 Jan 29.

[Painful swollen joints with weakness: what's behind all this? Case 1/2013].

[Article in German]

Author information

1
Medizinische Klinik, Universitätsklinikum Tübingen.

Abstract

HISTORY AND ADMISSION FINDINGS:

We report on a 58-year-old patient with weight loss, weakness and polyarthralgia. She reported of recurrent drops, painful joints and muscle weakness.

INVESTIGATIONS:

The patient had swollen joints, clubbing and cachexia. The radiogram of the hands and feet showed a hypertrophic oseoarthropathy. In further investigations we found a tumor in the upper left lung. The histology findings showed a adenocarcinoma of the lung.

DIAGNOSIS, TREATMENT AND COURSE:

The diagnosis of a secondary hypertrophic osteoarthropathy (Pierre Marie-Bamberger syndrome) due to a adenocarcinoma of the lung was made. The patient refused a radiochemotherapy and decided to go on vacation. Further course is unknown.

CONCLUSIONS:

Arthralgia is a common symptom for medical consultation. Pierre Marie-Bamberger syndrome is a rare cause of paraneoplastic arthritis. Notice that unspecific symptoms like weakness, weight loss and arthritis may result from paraneoplastic tumor disease.

PMID:
23361349
DOI:
10.1055/s-0032-1332841
[Indexed for MEDLINE]

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