{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:02:52Z","timestamp":1756425772075,"version":"3.44.0"},"reference-count":11,"publisher":"SMC Media","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Malignant neoplasms are associated with a wide range of paraneoplastic rheumatological syndromes. These can be defined as remote effects of cancer, which are not caused by the tumor and its metastasis. The authors describe the case of an 82-year-old man, who presented with a one-month history of pain, stiffness, and functional limitation of the scapular and pelvic girdles. Blood tests showed raised levels of inflammatory markers. He was diagnosed with Polymyalgia Rheumatica, but the lack of response to corticosteroids led to the suspicion of an alternative diagnosis, like, for example, an occult neoplasm. Although patient evaluation was initially normal, five months later he developed macroscopic haematuria and was diagnosed with bladder and prostate carcinomas. After surgical treatment, the patient fully recovered from his rheumatological syndrome. \u00a0<\/jats:p>","DOI":"10.12890\/2016_000374","type":"journal-article","created":{"date-parts":[[2017,3,30]],"date-time":"2017-03-30T06:32:16Z","timestamp":1490855536000},"source":"Crossref","is-referenced-by-count":0,"title":["More Than Just a Case of Polymyalgia Rheumatica"],"prefix":"10.12890","volume":"3","author":[{"given":"Jo\u00e3o","family":"Pereira","sequence":"additional","affiliation":[{"name":"Derpartment A of Internal Medicine, Centro Hospitalar e Universit\u00e1rio de Coimbra"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gisela","family":"Eug\u00e9nio","sequence":"additional","affiliation":[{"name":"Departmento of Rheumatology Centro Hospitalar e Universit\u00e1rio de Coimbra"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzana","family":"Calretas","sequence":"additional","affiliation":[{"name":"Department A of Internal Medicine, Centro Hospitalar e Universit\u00e1rio de Coimbra"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rui","family":"Santos","sequence":"additional","affiliation":[{"name":"Department A of Internal Medicine, Centro Hospitalar e Universit\u00e1rio de Coimbra"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Armando","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Department A of Internal Medicine, Centro Hospitalar e Universit\u00e1rio de Coimbra"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10397","published-online":{"date-parts":[[2016,4,12]]},"reference":[{"key":"10.12890\/2016_000374_ref1","doi-asserted-by":"crossref","unstructured":"Fern\u00e1ndez Guerra J, Barrot Cort\u00e9s E, Soto Campos J.G. Polimialgia reum\u00e1tica como forma de presentaci\u00f3n de un carcinoma epidermoide pulmonar. <em>Arch Bronconeumol <\/em>1996;<strong>32<\/strong>:155.","DOI":"10.1016\/S0300-2896(15)30805-X"},{"key":"10.12890\/2016_000374_ref2","doi-asserted-by":"crossref","unstructured":"Suzuki S, Ikusaka M, Miyahara M, Shikino K. Positron emission tomography findings in a patient with multiple myeloma of polymyalgia rheumatica-like symptoms caused by paraneoplastic syndrome. <em>BMJ Case Rep<\/em> 2014. pii: bcr2013203326.","DOI":"10.1136\/bcr-2013-203326"},{"key":"10.12890\/2016_000374_ref3","unstructured":"Yasunaga Y, Miyashita T, Makiyama J, Koga T, Izumi Y, Kitazato A, et al.<em> Clin Exp Rheumatol<\/em> 2010;<strong>28<\/strong>:111\u20132."},{"key":"10.12890\/2016_000374_ref4","doi-asserted-by":"crossref","unstructured":"Kehler T, Curkovi\u0107 B. Polymyalgia rheumatica and colon malignacy: case report. <em>Clin Rheumatol<\/em> 2006;<strong>25<\/strong>:764\u20135.","DOI":"10.1007\/s10067-005-0069-1"},{"key":"10.12890\/2016_000374_ref5","unstructured":"H\u00e4rk\u00f6nen M. Polymyalgia rheumatica ja munuaiskarsinooma. Duodecim 1998;114:1729."},{"key":"10.12890\/2016_000374_ref6","doi-asserted-by":"crossref","unstructured":"Anton E. More on Polymyalgia Rheumatica (PMR) as a Paraneoplastic Rheumatic Syndrome in the Elderly (Bicytopenia and PMR Preceding Acute Myeloid Leukemia). <em>J Clin Rheumatol <\/em>2007;<strong>13<\/strong>:114.","DOI":"10.1097\/01.rhu.0000260650.43402.b6"},{"key":"10.12890\/2016_000374_ref7","doi-asserted-by":"crossref","unstructured":"Mok, C, Lau S, Kuman C. Polymyalgia Rheumatica as the Rheumatological Manifestation of Myelodysplastic Syndrome in a Chinese Patient. <em>Br J Rheumatol<\/em> 1995;3<strong>5<\/strong>:496\u2013497.","DOI":"10.1093\/rheumatology\/35.5.496"},{"key":"10.12890\/2016_000374_ref8","doi-asserted-by":"crossref","unstructured":"Siebert S, Lawson TM, Wheeler MH, Martin JC, Williams BD. Polymyalgia rheumatica: pitfalls in diagnosis. <em>J R Soc Med<\/em> 2001;<strong>94<\/strong>:242\u2013244.","DOI":"10.1177\/014107680109400513"},{"key":"10.12890\/2016_000374_ref9","doi-asserted-by":"crossref","unstructured":"Cocquempot K, Defuentes G, Duron-Martineau S, Berets O, Vaylet F, Margery J. Polymyalgia rheumatica revealing a lung cancer.<em> Rev Mal Respir<\/em> 2013;<strong>30<\/strong>:67\u201370.","DOI":"10.1016\/j.rmr.2012.06.015"},{"key":"10.12890\/2016_000374_ref10","unstructured":"Masin N, Buchard PA, Gerster JC. Polymyalgia rheumatica and pulmonary cancer: paraneoplastic syndrome.<em> Rev Rhum Mal Osteoartic <\/em>1992;<strong>59<\/strong>:153\u20134."},{"key":"10.12890\/2016_000374_ref11","doi-asserted-by":"crossref","unstructured":"Hakkou J, Rostom S, Bahiri R, Hajjaj-Hassouni N. 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