{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:27:07Z","timestamp":1790900827769,"version":"4.1.0"},"reference-count":20,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T00:00:00Z","timestamp":1541030400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2018,11,20]]},"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:p>Dermatomyositis is a multisystem disease manifesting as an idiopathic inflammatory myopathy, characterised predominantly by cutaneous and muscular abnormalities. Patients with dermatomyositis display characteristic skin changes in addition to muscle weakness. Many consider dermatomyositis a paraneoplastic syndrome, as up to 32% of patients with dermatomyositis will develop cancer. Discussed here is the case of a 69-year-old man with a new diagnosis of dermatomyositis who was referred to a tertiary institution with an 8-month history of rash, proximal muscle weakness, fatigue and weight loss. In the absence of clinical symptoms, negative cancer markers and a negative CT chest, abdomen and pelvis, positron emission tomography\u2013CT prompted a gastroscopy, which led to the discovery of a stage T1b oesophageal adenocarcinoma. The oesophageal adenocarcinoma was treated with a gastrointestinal endoscopic mucosal resection and subsequent oesophajectomy. The patient\u2019s dermatomyositis was treated successfully with oral prednisolone and methotrexate.<\/jats:p>","DOI":"10.1136\/bcr-2018-227387","type":"journal-article","created":{"date-parts":[[2018,12,18]],"date-time":"2018-12-18T17:19:47Z","timestamp":1545153587000},"page":"e227387","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Dermatomyositis as a paraneoplastic phenomenon in oesophageal cancer"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2683-9499","authenticated-orcid":false,"given":"Nicholas Kevin","family":"Laidler","sequence":"first","affiliation":[{"name":"Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,12,7]]},"reference":[{"key":"2025082701072529000_11.1.e227387.1","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1586\/17469872.2013.836923","article-title":"Dermatomyositis\/polymyositis and anti-TNF-\u03b1 therapies: a literature review","volume":"8","author":"Brunasso","year":"2013","journal-title":"Expert Rev Dermatol"},{"key":"2025082701072529000_11.1.e227387.2","unstructured":"Mantegazza R , Bernasconi P . 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