Randazzo Charles T, Bernard Aaron W, Rund Douglas A
Department of Emergency Medicine, The Ohio State University Medical Center, 4833 Cramblett Hall, 456 W. 10th Avenue, Columbus, OH 43210, USA.
Case Rep Emerg Med. 2011;2011:695320. doi: 10.1155/2011/695320. Epub 2011 Dec 15.
A 59-year-old male presented to the emergency department with a four-month progressive history of proximal muscle pain and weakness with elevated erythrocyte sedimentation rate and C-reactive protein. He was initially diagnosed with polymyalgia rheumatica (PMR) and admitted to the hospital. During his hospitalization he was found to have metastatic prostate cancer, which was thought to be responsible for his PMR-like syndrome. By recognizing the resemblance between metastatic malignancy and rheumatologic diseases, the emergency physician can improve diagnostic accuracy.
一名59岁男性因近端肌肉疼痛和无力进行性加重4个月，红细胞沉降率和C反应蛋白升高，就诊于急诊科。他最初被诊断为风湿性多肌痛（PMR）并入院。住院期间，发现他患有转移性前列腺癌，认为这是导致他出现类似PMR综合征的原因。通过认识到转移性恶性肿瘤与风湿性疾病之间的相似性，急诊医生可以提高诊断准确性。
