Work

Paraneoplastic Polyarthritis Revealed by Gastric Cancer: A Case Report

Year: 2024
Type: article
Study design: Case Report
Abstract: Introduction: Paraneoplastic syndromes are defined by signs related to an occult or already recognized tumor, most often malignant. These signs have no direct anatomical relationship with the causative tumor, are not due to compression or invasion of anatomical structures by the tumor, and typically disappear after effective treatment of the tumor. The diagnostic difficulties of paraneoplastic polyarthritis arise from their onset before the cancer is discovered, over periods of up to two years. In the literature, paraneoplastic polyarthritis is rare, occurring more in men than in women, with a sex ratio of 1.7 and an average age of 50. Clinical Case: We report the clinical case of a young female patient admitted to the internal medicine department of Ibn Rochd hospital in Casablanca for subacute polyarthritis revealing metastatic gastric cancer. The particularity of our work is presented by the occurrence of an atypical form of paraneoplastic polyarthritis in a young paucisymptomatic patient. Conclusion: Polyarthritis can reveal gastric adenocarcinoma, hence the interest of thinking of a paraneoplastic syndrome in the face of any polyarthritis, even in the face of a non-evocative clinical picture.
Language: English
Subfield: Neurology
Field: Medicine
Open Access status: bronze
OpenAlex ID: W4400368977
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