J Korean Surg Soc.
2008 Feb;74(2):143-145.
Dermatomyositis in a Breast Cancer Patient
- Affiliations
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- 1Department of Surgery, College of Medicine, Chungnam National University, Daejeon, Korea. eschang@cnu.ac.kr
- 2Research Institute for Medical Sciences, College of Medicine, Chungnam National University, Daejeon, Korea.
Abstract
- Cancer-associated rheumatic disorders are sometimes present concurrently with a tumor, but are not recognized initially. We report a case of dermatomyositis with breast cancer. A 46 year-old woman diagnosed with breast cancer with axillary lymph node metastasis had been treated by neoadjuvant chemotherapy and a lumpectomy with axillary lymph node dissection. She presented with a red rash on her face, eyelids, neck, and shoulders. A skin biopsy did not rule out dermatomyositis. Laboratory values were within normal limits, except muscle enzymes (Creatine kinase). Electromyography showed the presence of early myopathy. A PET CT-scan showed muscle uptake in left infraspinatus, r/o myositis. No abnormalities were presented in the muscle biopsy. Symptoms were improved by steroid therapy.
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