Dabrowska-Zimoń Agnieszka, Brzosko Marek
Klinika Reumatologii Pomorskiej Akademii Medycznej ul. Unii Lubelskiej 1, 71-252 Szczecin.
Ann Acad Med Stetin. 2006;52 Suppl 2:17-22.
Malignant neoplasms are sometimes associated with a variety of paraneoplastic rheumatic syndromes. The most frequently diagnosed ones include hypertrophic osteoarthropathy, polyarthritis, dermatomyositis/polymyositis, and paraneoplastic vasculitis. Fasciitis, panniculitis, erythema nodosum, lupus-like syndrome, and Raynaud's syndrome are rare. Rheumatic manifestations of cancer are sometimes indistinguishable from idiopathic rheumatic disease. Hence, the neoplasm is not discovered because it is masked by another disease implicating improper therapeutic decisions and worsening the prognosis. The aim of this work was to review the literature on paraneoplastic rheumatic syndromes.
恶性肿瘤有时与多种副肿瘤性风湿综合征相关。最常被诊断出的包括肥大性骨关节病、多关节炎、皮肌炎/多发性肌炎以及副肿瘤性血管炎。筋膜炎、脂膜炎、结节性红斑、狼疮样综合征和雷诺综合征较为罕见。癌症的风湿表现有时与特发性风湿性疾病难以区分。因此,肿瘤未被发现是因为它被另一种疾病掩盖,这会导致治疗决策不当并使预后恶化。这项工作的目的是回顾关于副肿瘤性风湿综合征的文献。