{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:28:17Z","timestamp":1761823697279,"version":"3.37.3"},"reference-count":8,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,11,26]],"date-time":"2014-11-26T00:00:00Z","timestamp":1416960000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Respiratory J"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>Paraneoplastic syndrome is a disease or symptom that is the consequence of cancer in the body but, unlike mass effect, is not due to the local presence of cancer cells. An overlap of two paraneoplastic syndromes secondary to lung cancer in a patient is very rare. In order to improve the diagnosis of two paraneoplastic syndromes secondary to lung cancer, we reported an overlap of two paraneoplastic syndromes secondary to lung squamous carcinoma in a patient.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We reported a case of a 60\u2010year\u2010old male smoker who presented multiple erythematous lesions for 6 months with progressive proximal muscular weakness, and developed to dysphonia in 2 months. His chest computed tomography showed a spiculate pulmonary nodule near the hilar in the right upper lobe and mediastinal lymph nodes enlargement. Lung biopsy showed squamous cell carcinoma. The patient's blood test revealed elevated creatine kinase levels. Electromyography results were consistent with moderate myopathy accompanied with a pattern suggestive of <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ambert\u2013<jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>aton myasthenic syndrome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>So we made the diagnosis of an overlap of two paraneoplastic syndromes (dermatomyositis and <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ambert\u2013<jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>aton myasthenic syndrome) secondary to lung squamous carcinoma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Recognition of paraneoplastic syndrome is crucial for early diagnosis of lung cancer because up to 80% of patients may present paraneoplastic syndromes before any other direct indication of malignancy. Early diagnosis and treatment of paraneoplastic syndrome is also important because delayed diagnosis may result in rapid disease progression and irreversible neurological damage.<\/jats:p><\/jats:sec>","DOI":"10.1111\/crj.12229","type":"journal-article","created":{"date-parts":[[2014,10,22]],"date-time":"2014-10-22T04:58:27Z","timestamp":1413953907000},"page":"495-499","source":"Crossref","is-referenced-by-count":9,"title":["Lung squamous carcinoma with two paraneoplastic syndromes: dermatomyositis and <scp>L<\/scp>ambert\u2013<scp>E<\/scp>aton myasthenic syndrome"],"prefix":"10.1111","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3986-2674","authenticated-orcid":false,"given":"Yuanrong","family":"Dai","sequence":"first","affiliation":[{"name":"Department of Respiratory Medicine The Second Affiliated Hospital Yuying Children's Hospital of Wenzhou Medical University  Wenzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ping","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine The People's Hospital of Yichun City  Yichun China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunshun","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine The Second Affiliated Hospital Yuying Children's Hospital of Wenzhou Medical University  Wenzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaodong","family":"Xia","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine The Second Affiliated Hospital Yuying Children's Hospital of Wenzhou Medical University  Wenzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhixiong","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Xiaoshan No. 1 People's Hospital  Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mengling","family":"Xia","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine The Second Affiliated Hospital Yuying Children's Hospital of Wenzhou Medical University  Wenzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,11,26]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197502132920706"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197502202920807"},{"issue":"12","key":"e_1_2_5_4_1","first-page":"163","article-title":"Dermatomyositis as the first manifestation of a lung tumor","volume":"2159","author":"Castro AS","year":"2013","journal-title":"Rev Port Pneumol"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1196\/annals.1361.047"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/ar2987"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000130254.27019.14"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.5692\/clinicalneurol.50.17"},{"issue":"5","key":"e_1_2_5_9_1","first-page":"486","article-title":"Diagnosis and management of primary lung cancer (2011 edition)","volume":"9","author":"Ministry of Health of the People's Republic of China","year":"2011","journal-title":"Clin Educ Gen Prac"}],"container-title":["The Clinical Respiratory Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcrj.12229","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/crj.12229","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/crj.12229","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/crj.12229","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T03:43:49Z","timestamp":1696304629000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/crj.12229"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,11,26]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016,7]]}},"alternative-id":["10.1111\/crj.12229"],"URL":"https:\/\/doi.org\/10.1111\/crj.12229","archive":["Portico"],"relation":{},"ISSN":["1752-6981","1752-699X"],"issn-type":[{"type":"print","value":"1752-6981"},{"type":"electronic","value":"1752-699X"}],"subject":[],"published":{"date-parts":[[2014,11,26]]}}}