A Case of Primary Bone Marrow Diffuse Large B-cell Lymphoma Presenting with Polyarthritis
Journal of Rheumatic Diseases
; : 256-260, 2016.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-98407
Responsible library:
WPRO
ABSTRACT
Polyarthritis is a common manifestation of rheumatologic disorders; however, paraneoplastic arthropathies also arise as polyarthritis or polymyalgia, particularly in patients with myelomas, lymphomas, acute leukemia, and solid tumors. Because paraneoplastic syndromes, in some instances, might be manifested before a cancer diagnosis, they are difficult to diagnose and are often misdiagnosed. We experienced a 63-year-old female patient who had nonspecific arthritis on both hands and feet accompanied by fever. She had been diagnosed as rheumatoid arthritis and treated with prednisolone and disease modifying anti-rheumatic drugs (DMARDs) including methotrexate and anti-tumor necrosis factor agents. Her arthritis did not respond with anti-rheumatic treatment and diffuse large B-cell lymphoma was diagnosed by bone marrow biopsy. After 6 cycles of chemotherapy, her arthritis was improved as well as underlying lymphoma.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Paraneoplastic Syndromes
/
Arthritis
/
Arthritis, Rheumatoid
/
Biopsy
/
Bone Marrow
/
Prednisolone
/
B-Lymphocytes
/
Leukemia
/
Methotrexate
/
Lymphoma, B-Cell
Type of study:
Diagnostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Journal of Rheumatic Diseases
Year:
2016
Document type:
Article