Palmar fasciitis and arthritis: association with endometrial adenocarcinoma

C. Docquier, Ch Docquier, F. Majois, C. Mitine
Clinical rheumatology · 2002 · vol. 21(1) , pp. 63–65 · doi:10.1007/s100670200015 · PMID:11954889 · W1969834594
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A 74-year-old woman with a history of uterine adenocarcinoma developed palmar fasciitis and arthritis as a paraneoplastic syndrome, which was confirmed by CT scan showing peritoneal carcinomatosis.

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Abstract

A 74-year-old woman was referred because of rheumatic symptoms consisting of pain, swelling of the hands, contracture and flexion of the fingers and severe palmar erythrosis. One year earlier she had undergone a total abdominal hysterectomy (TAH) for uterine adenocarcinoma. A paraneoplastic syndrome with palmar fasciitis and arthritis was then suspected and an evolutive peritoneal carcinomatosis was confirmed by abdominal CT scan. The patient was first treated with hormonal therapy (progestagen) and then with chemotherapy. This, associated with calcitonin, corticosteroids and physiotherapy, allowed a temporary recovery, but the patient died 10 months later from progressive peritoneal carcinomatosis.

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MeSH descriptors

Adenocarcinoma Arthritis Endometrial Neoplasms Fasciitis Hand Paraneoplastic Syndromes Adenocarcinoma Adenocarcinoma Aged Antineoplastic Combined Chemotherapy Protocols Antineoplastic Combined Chemotherapy Protocols Arthritis Arthritis Carcinoma Carcinoma Carcinoma Carcinoma Endometrial Neoplasms Endometrial Neoplasms Fasciitis

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