Renal cell carcinoma presenting as polymyalgia rheumatica. Resolution after nephrectomy
Sidhom, O.A.; Basalaev, M.; Sigal, L.H.
Archives of Internal Medicine 153(17): 2043-2045
1993
ISSN/ISBN: 0003-9926 PMID: 8357289 Document Number: 414058
Renal cell carcinoma can present as a variety of paraneoplastic, nonmetastatic conditions, including vasculitis. We describe a patient who presented with the polymyalgia rheumatica syndrome but did not respond to a trial of prednisone. An asymptomatic, nonmetastatic renal cell carcinoma was found during this patient's evaluation. Nephrectomy led to resolution of the systemic complaints. Malignancy, in this case, renal cell carcinoma, can present as polymyalgia rheumatica and resolve after surgical removal of the underlying tumor.