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Rheumatic manifestations and an epipharyngeal mass accompanied by myelodysplastic syndrome

Authors :
Hiroshi Kaneko
Yuko Takahashi
Takashi Ozaki
Akio Mimori
Hiroyuki Yamashita
Toshikazu Kano
Mariko Inoue
Source :
Modern rheumatology. 25(4)
Publication Year :
2013

Abstract

We herein report two cases of myelodysplastic syndrome with rheumatic manifestations. (Case 1) A 70-year-old man presented with fever, arthritis and bone pain and developed cranial nerve palsy caused by an epipharyngeal mass. Steroid therapy led to a prolonged remission of the febrile condition and mass lesion. (Case 2) An 82-year-old male was treated for intractable polyarthritis and fever with steroid therapy, and serious side effects resulted in lethal pneumonia. We herein describe the entire course of steroid therapy in these two cases. Various rheumatic manifestations in myelodyaplastic syndrome often require empirical steroid therapy. It was effective for the soft tissue mass in Case 1, in which indolent lymphoma could not be denied, and was only partially effective for Case 2 of the febrile and putatively benign conditions, suggesting heterogeneous nature of rheumatic complications in myelodysplastic syndrome.

Details

ISSN :
14397609
Volume :
25
Issue :
4
Database :
OpenAIRE
Journal :
Modern rheumatology
Accession number :
edsair.doi.dedup.....9d840a56242e3eef25113d82143e00b1