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Rheumatic manifestations and an epipharyngeal mass accompanied by myelodysplastic syndrome
- 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.
- Subjects :
- Male
medicine.medical_specialty
Fever
Biopsy
Arthritis
Cranial nerve palsy
Bone and Bones
Arthritis, Rheumatoid
Fatal Outcome
Rheumatology
medicine
Soft tissue mass
Humans
Paralysis
Bone pain
Glucocorticoids
Aged
Aged, 80 and over
business.industry
Pharyngeal Diseases
medicine.disease
Dermatology
Indolent lymphoma
Pneumonia
Myelodysplastic Syndromes
Positron-Emission Tomography
Immunology
Polyarthritis
Steroids
medicine.symptom
business
Tomography, X-Ray Computed
Glucocorticoid
medicine.drug
Subjects
Details
- ISSN :
- 14397609
- Volume :
- 25
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Modern rheumatology
- Accession number :
- edsair.doi.dedup.....9d840a56242e3eef25113d82143e00b1