Colon Cancer: An Unusual Presentation with a Paraneoplastic Syndrome

Dermatomyositis (DM) is a rheumatological disorder characterized by proximal myositis and distinctive dermatological manifestations. It can be an isolated clinical syndrome or, in rarer cases, can be the initial presentation for an underlying malignancy as a part of a paraneoplastic syndrome. In thi...

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Autores principales: Reham Almasoud, Rasha Alloush, Labib Al-Ozaibi
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Lenguaje:EN
Publicado: Karger Publishers 2021
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spelling oai:doaj.org-article:cd2a577ba4a647f0a32bfe9bbac0eb3e2021-11-04T14:40:32ZColon Cancer: An Unusual Presentation with a Paraneoplastic Syndrome2571-726X10.1159/000518882https://doaj.org/article/cd2a577ba4a647f0a32bfe9bbac0eb3e2021-10-01T00:00:00Zhttps://www.karger.com/Article/FullText/518882https://doaj.org/toc/2571-726XDermatomyositis (DM) is a rheumatological disorder characterized by proximal myositis and distinctive dermatological manifestations. It can be an isolated clinical syndrome or, in rarer cases, can be the initial presentation for an underlying malignancy as a part of a paraneoplastic syndrome. In this case report, we describe a case of a 51-year-old lady who presented with proximal myopathy, typical DM skin rash, dysphagia, and markedly elevated creatine kinase. She was diagnosed with a seronegative DM and her malignancy screening revealed a mass in the ascending colon. During her hospital course, she also developed microangiopathic hemolytic anemia, another paraneoplastic disorder typically associated with late stages of malignancy, manifested as hemolytic anemia, thrombocytopenia, and low fibrinogen. The patient received intravenous corticosteroids and underwent tumor resection with following resolution of her both rheumatological and hematological manifestation. Unfortunately, due to her general poor health, she developed sepsis and died in the hospital.Reham AlmasoudRasha AlloushLabib Al-OzaibiKarger Publishersarticlecolon adenocarcinomadermatomyositismicroangiopathic hemolytic anemiaparaneoplastic syndromesurgeryMedicineRENDubai Medical Journal, Pp 1-3 (2021)
institution DOAJ
collection DOAJ
language EN
topic colon adenocarcinoma
dermatomyositis
microangiopathic hemolytic anemia
paraneoplastic syndrome
surgery
Medicine
R
spellingShingle colon adenocarcinoma
dermatomyositis
microangiopathic hemolytic anemia
paraneoplastic syndrome
surgery
Medicine
R
Reham Almasoud
Rasha Alloush
Labib Al-Ozaibi
Colon Cancer: An Unusual Presentation with a Paraneoplastic Syndrome
description Dermatomyositis (DM) is a rheumatological disorder characterized by proximal myositis and distinctive dermatological manifestations. It can be an isolated clinical syndrome or, in rarer cases, can be the initial presentation for an underlying malignancy as a part of a paraneoplastic syndrome. In this case report, we describe a case of a 51-year-old lady who presented with proximal myopathy, typical DM skin rash, dysphagia, and markedly elevated creatine kinase. She was diagnosed with a seronegative DM and her malignancy screening revealed a mass in the ascending colon. During her hospital course, she also developed microangiopathic hemolytic anemia, another paraneoplastic disorder typically associated with late stages of malignancy, manifested as hemolytic anemia, thrombocytopenia, and low fibrinogen. The patient received intravenous corticosteroids and underwent tumor resection with following resolution of her both rheumatological and hematological manifestation. Unfortunately, due to her general poor health, she developed sepsis and died in the hospital.
format article
author Reham Almasoud
Rasha Alloush
Labib Al-Ozaibi
author_facet Reham Almasoud
Rasha Alloush
Labib Al-Ozaibi
author_sort Reham Almasoud
title Colon Cancer: An Unusual Presentation with a Paraneoplastic Syndrome
title_short Colon Cancer: An Unusual Presentation with a Paraneoplastic Syndrome
title_full Colon Cancer: An Unusual Presentation with a Paraneoplastic Syndrome
title_fullStr Colon Cancer: An Unusual Presentation with a Paraneoplastic Syndrome
title_full_unstemmed Colon Cancer: An Unusual Presentation with a Paraneoplastic Syndrome
title_sort colon cancer: an unusual presentation with a paraneoplastic syndrome
publisher Karger Publishers
publishDate 2021
url https://doaj.org/article/cd2a577ba4a647f0a32bfe9bbac0eb3e
work_keys_str_mv AT rehamalmasoud coloncanceranunusualpresentationwithaparaneoplasticsyndrome
AT rashaalloush coloncanceranunusualpresentationwithaparaneoplasticsyndrome
AT labibalozaibi coloncanceranunusualpresentationwithaparaneoplasticsyndrome
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