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Year : 2013  |  Volume : 5  |  Issue : 4  |  Page : 299-301

Renal cell carcinoma-associated adult dermatomyositis treated laparoscopic nephrectomy

1 Department of Urology, The Mid Yorkshire Hospitals, NHS Trust, United Kingdom
2 Department of Rheumatology, The Mid Yorkshire Hospitals, NHS Trust, United Kingdom

Correspondence Address:
Chandra Shekhar Biyani
Department of Urology, Pinderfields General Hospital, Wakefield, WF1 4DJ
United Kingdom
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DOI: 10.4103/0974-7796.120302

PMID: 24311917

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A 77-year-old female, who suffered from rheumatoid arthritis and hypothyroidism, developed severe muscle weakness. Clinical features, blood results and muscle biopsy suggested a possible diagnosis of dermatomyositis. A computed tomography of the chest, abdomen and pelvis showed a solid mass in the left kidney. She underwent a left laparoscopic nephrectomy and histology confirmed conventional (clear cell) renal cell carcinoma. She recovered slowly and almost back to normal life after 6 months. Early appreciation of the typical skin rash may provide a clue to the diagnosis and screening for neoplasm may improve prognosis.

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