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Case Reports
. 2013 Oct;5(4):299-301.
doi: 10.4103/0974-7796.120302.

Renal cell carcinoma-associated adult dermatomyositis treated laparoscopic nephrectomy

Elizabeth Nevins  1 , Ahmed S Zayat, Anthony J Browning, Chandra Shekhar Biyani, Stephen Jarrett
Affiliations
Case Reports

Renal cell carcinoma-associated adult dermatomyositis treated laparoscopic nephrectomy

Elizabeth Nevins et al. Urol Ann. 2013 Oct.

Abstract

A 77-year-old female, who suffered from rheumatoid arthritis and hypothyroidism, developed severe muscle weakness. Clinical features, blood results and muscle biopsy suggested a possible diagnosis of dermatomyositis. A computed tomography of the chest, abdomen and pelvis showed a solid mass in the left kidney. She underwent a left laparoscopic nephrectomy and histology confirmed conventional (clear cell) renal cell carcinoma. She recovered slowly and almost back to normal life after 6 months. Early appreciation of the typical skin rash may provide a clue to the diagnosis and screening for neoplasm may improve prognosis.

Keywords: Dermatomyositis; laparoscopic; nephrectomy; renal cancer.

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Conflict of interest statement

Conflict of Interest: None.

Figures

Figure 1
Figure 1
Patient at presentation. (a) heliotrope rash and malar erythema, (b) Shawl sign, (c) poikiloderma vasculare atrophicans, (d) Gottrons papules, (e) paronychial erythema
Figure 2
Figure 2
patient 4 weeks after nephrectomy with disappearance of the heliotrope rash (a) and upper chest erythema (b)
See this image and copyright information in PMC

References

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