Korean J Med.  2009 Apr;76(Suppl 1):S234-S237.

Acute lymphoblastic leukemia initially presenting with polymyalgia rheumatica

Affiliations
  • 1Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, Korea. kangsw@cnuh.co.kr

Abstract

Polymyalgia rheumatica (PMR) is a clinical syndrome of unknown etiology characterized by aching and stiffness in the shoulder girdle, pelvic girdle, and neck that occurs in people over the age of 50 years. New-onset proximal muscle pain and stiffness in subjects older than 50 are the most common symptoms of PMR, but polymyalgic pain can also be present in patients with malignant neoplasms. The musculoskeletal system may be involved in malignancy either directly or indirectly, particularly in cases involving hematological malignancies. Only a few cases of cancer-associated PMR have been reported worldwide, and this is the first in Korea. We report the case of a 58-year-old man diagnosed with PMR associated with acute lymphoblastic leukemia.

Keyword

Polymyalgia rheumatica; Acute lymphoblastic leukemia; Paraneoplastic syndrome

MeSH Terms

Hematologic Neoplasms
Humans
Korea
Middle Aged
Muscles
Musculoskeletal System
Neck
Paraneoplastic Syndromes
Polymyalgia Rheumatica
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Shoulder
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