Dysphagia and a rash

Dermatomyositis and polymyositis increase the likelihood of developing cancer by six and twofold, respectively, 1 making appropriate investigation a priority, especially in patients with relevant risk factors. 2 Risk factors for developing cancer in polymyositis/dermatomyositis are increasing age, m...

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Bibliographic Details
Published in:BMJ (Online) 2018-05, Vol.361, p.k1590-k1590
Main Authors: McFarlane, Michael, Disney, Ben
Format: Article
Language:English
Subjects:
Cancer
Case reports
Deglutition Disorders - diagnosis
Dermatomyositis - diagnosis
Dysphagia
Erythrocyte sedimentation rate
Esophageal Neoplasms - diagnosis
Exanthema - diagnosis
Gangrene
Glucocorticoids
Health risk assessment
Humans
Male
Medical diagnosis
Middle Aged
Risk factors
Skin diseases
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Summary:Dermatomyositis and polymyositis increase the likelihood of developing cancer by six and twofold, respectively, 1 making appropriate investigation a priority, especially in patients with relevant risk factors. 2 Risk factors for developing cancer in polymyositis/dermatomyositis are increasing age, male sex, dysphagia, skin necrosis, cutaneous vasculitis, rapid disease onset, raised creatine kinase, raised C reactive protein, and increased erythrocyte sedimentation rate.[...]any cancer can cause a dermatomyositis/polymyositis paraneoplastic syndrome. 1 The treatment of dermatomyositis/polymyositis is glucocorticoid steroids and disease modifying drugs. 1 Patient outcome The patient was presented at the upper gastrointestinal multidisciplinary team meeting and the malignant lesion was investigated further by staging computed tomography and further evaluation of the PET-CT scan.Risk factors for malignancy in dermatomyositis/polymyositis are increasing age, male sex, dysphagia, skin necrosis, cutaneous vasculitis, rapid disease onset, and raised creatine kinase, C reactive protein, and erythrocyte sedimentation rate.
ISSN:0959-8138
1756-1833
DOI:10.1136/bmj.k1590