Document Detail


Report of anti-CCP antibody positive paraneoplastic polyarthritis and review of the literature.
MedLine Citation:
PMID:  20012960     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A 45-year-old female presented to the rheumatology clinic with complaint of pain and swelling of multiple small joints of the hands and feet. She also complained of cough and shortness of breath onset around the same time. Since her cyclic citrullinated peptide antibody (anti-CCP) and rheumatoid factor tests were positive, rheumatoid arthritis (RA) was diagnosed and she was started on prednisone with plans for additional disease modifying therapy. Chest X-ray showed a small right pleural effusion. While additional pulmonary evaluation was being planned, a few weeks later she presented with dyspnea, fever and tachycardia. Spiral CT showed pulmonary emboli and increased pleural effusion and patient was started on anticoagulation. A chest tube was placed and exudative pleural effusion was drained. Cytology sample from bronchoscopy raised concerns for adenocarcinoma. Open lung biopsy confirmed moderately differentiated adenocarcinoma. The patient died of lung cancer in the hospital 8 weeks from her diagnosis of RA. We describe a case of paraneoplastic polyarthritis with positive anti-CCP antibody test which has not been reported before. We also review the literature on paraneoplastic arthritis which has been described in association with various other malignancies besides lung cancer.
Authors:
Emily Larson; Delene Etwaru; Chokkalingam Siva; Kenneth Lawlor
Publication Detail:
Type:  Journal Article     Date:  2009-12-15
Journal Detail:
Title:  Rheumatology international     Volume:  31     ISSN:  1437-160X     ISO Abbreviation:  Rheumatol. Int.     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-11-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8206885     Medline TA:  Rheumatol Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1635-8     Citation Subset:  IM    
Affiliation:
Division of Rheumatology, Department of Internal Medicine, University of Missouri School of Medicine, CE 326, DC 043.00, 5 Hospital Drive, Columbia, MO, 65212, USA, larsonec@health.missouri.edu.
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