Palmar fasciitis and polyarthritis associated with gastric carcinoma: Complete resolution after total gastrectomy

Mami Enomoto; Hiroyuki Takemura; Motohiro Suzuki; Takamichi Yuhara; Takao Akama; Kazuhide Yamane; Takayuki Sumida

doi:10.2169/internalmedicine.39.754

Palmar fasciitis and polyarthritis associated with gastric carcinoma: Complete resolution after total gastrectomy

Mami Enomoto, Hiroyuki Takemura^*, Motohiro Suzuki, Takamichi Yuhara, Takao Akama, Kazuhide Yamane, Takayuki Sumida

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

45 Citations (Scopus)

Abstract

Palmar fasciitis and polyarthritis (PFA) is a rare paraneoplastic rheumatic syndrome characterized by flexion contractures of both hands and thickening of palmar fascia. Several reports have suggested that this syndrome is a tumor-associated autoimmune disorder. We report a 44-year-old Japanese man who presented with flexion contractures of both hands associated with thickening of palmar fascia and polyarthritis. These clinical pictures were suggestive of PFA associated with occult neoplasm. Upper gastrointestinal endoscopic examination revealed advanced gastric cancer. Resection of the cancer resulted in a gradual resolution of palmar fasciitis and polyarthritis. This clinical course suggests an underlying tumor-related immunologic process in this syndrome.

Original language	English
Pages (from-to)	754-757
Number of pages	4
Journal	Internal Medicine
Volume	39
Issue number	9
DOIs	https://doi.org/10.2169/internalmedicine.39.754
Publication status	Published - 2000 Sept
Externally published	Yes

Keywords

Malignant neoplasm
Musculoskeletal manifestation
Paraneoplastic syndrome

ASJC Scopus subject areas

Internal Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.2169/internalmedicine.39.754

Cite this

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title = "Palmar fasciitis and polyarthritis associated with gastric carcinoma: Complete resolution after total gastrectomy",

abstract = "Palmar fasciitis and polyarthritis (PFA) is a rare paraneoplastic rheumatic syndrome characterized by flexion contractures of both hands and thickening of palmar fascia. Several reports have suggested that this syndrome is a tumor-associated autoimmune disorder. We report a 44-year-old Japanese man who presented with flexion contractures of both hands associated with thickening of palmar fascia and polyarthritis. These clinical pictures were suggestive of PFA associated with occult neoplasm. Upper gastrointestinal endoscopic examination revealed advanced gastric cancer. Resection of the cancer resulted in a gradual resolution of palmar fasciitis and polyarthritis. This clinical course suggests an underlying tumor-related immunologic process in this syndrome.",

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T1 - Palmar fasciitis and polyarthritis associated with gastric carcinoma

T2 - Complete resolution after total gastrectomy

AU - Enomoto, Mami

AU - Takemura, Hiroyuki

AU - Suzuki, Motohiro

AU - Yuhara, Takamichi

AU - Akama, Takao

AU - Yamane, Kazuhide

AU - Sumida, Takayuki

PY - 2000/9

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N2 - Palmar fasciitis and polyarthritis (PFA) is a rare paraneoplastic rheumatic syndrome characterized by flexion contractures of both hands and thickening of palmar fascia. Several reports have suggested that this syndrome is a tumor-associated autoimmune disorder. We report a 44-year-old Japanese man who presented with flexion contractures of both hands associated with thickening of palmar fascia and polyarthritis. These clinical pictures were suggestive of PFA associated with occult neoplasm. Upper gastrointestinal endoscopic examination revealed advanced gastric cancer. Resection of the cancer resulted in a gradual resolution of palmar fasciitis and polyarthritis. This clinical course suggests an underlying tumor-related immunologic process in this syndrome.

AB - Palmar fasciitis and polyarthritis (PFA) is a rare paraneoplastic rheumatic syndrome characterized by flexion contractures of both hands and thickening of palmar fascia. Several reports have suggested that this syndrome is a tumor-associated autoimmune disorder. We report a 44-year-old Japanese man who presented with flexion contractures of both hands associated with thickening of palmar fascia and polyarthritis. These clinical pictures were suggestive of PFA associated with occult neoplasm. Upper gastrointestinal endoscopic examination revealed advanced gastric cancer. Resection of the cancer resulted in a gradual resolution of palmar fasciitis and polyarthritis. This clinical course suggests an underlying tumor-related immunologic process in this syndrome.

KW - Malignant neoplasm

KW - Musculoskeletal manifestation

KW - Paraneoplastic syndrome

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Palmar fasciitis and polyarthritis associated with gastric carcinoma: Complete resolution after total gastrectomy

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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