TY - JOUR
T1 - Esophageal adenocarcinoma and hypertrophic osteoarthropathy with improvement following resection of esophageal cancer
AU - Wechalekar, Mihir
AU - Kennedy, Nicholas
AU - Ahern, Michael
AU - Slavotinek, John
AU - Smith, Malcolm
PY - 2011/9
Y1 - 2011/9
N2 - Esophageal cancer usually presents late and carries a grave prognosis. Early diagnosis dramatically improves outcomes, and hence recognition of the varied presenting features, including hypertrophic osteoarthropathy (HOA), may be important. Hypertrophic osteoarthropathy is a rare manifestation of esophageal adenocarcinoma and indeed may herald the presence of this neoplasm, as it did in the case we present. A 59-year-old man presented with signs and symptoms suggestive of inflammatory wrist, ankle, and knee arthritis, and imaging revealed changes of HOA. He reported dysphagia mainly to solids, and endoscopic biopsy showed adenocarcinoma. Cancer resection treatment led to clinical resolution of his musculoskeletal symptoms. This case highlights the importance of recognition of HOA as a feature of this increasingly common cancer.
AB - Esophageal cancer usually presents late and carries a grave prognosis. Early diagnosis dramatically improves outcomes, and hence recognition of the varied presenting features, including hypertrophic osteoarthropathy (HOA), may be important. Hypertrophic osteoarthropathy is a rare manifestation of esophageal adenocarcinoma and indeed may herald the presence of this neoplasm, as it did in the case we present. A 59-year-old man presented with signs and symptoms suggestive of inflammatory wrist, ankle, and knee arthritis, and imaging revealed changes of HOA. He reported dysphagia mainly to solids, and endoscopic biopsy showed adenocarcinoma. Cancer resection treatment led to clinical resolution of his musculoskeletal symptoms. This case highlights the importance of recognition of HOA as a feature of this increasingly common cancer.
UR - http://www.scopus.com/inward/record.url?scp=84879790096&partnerID=8YFLogxK
U2 - 10.1097/rhu.0b013e31822e0642
DO - 10.1097/rhu.0b013e31822e0642
M3 - Article
SN - 1076-1608
VL - 17
SP - 323
EP - 324
JO - JCR-JOURNAL OF CLINICAL RHEUMATOLOGY
JF - JCR-JOURNAL OF CLINICAL RHEUMATOLOGY
IS - 6
ER -