Unusual cause of painful shoulder in an elderly woman with rheumatoid arthritis
Identifieur interne : 001679 ( Istex/Corpus ); précédent : 001678; suivant : 001680Unusual cause of painful shoulder in an elderly woman with rheumatoid arthritis
Auteurs : Esha Saha ; Magdalena Dziadzio ; Katherine Irving ; Anthony Chambers ; Clare HiggensSource :
- Clinical Rheumatology [ 0770-3198 ] ; 2007-09-01.
English descriptors
- KwdEn :
Abstract
Abstract: The painful shoulder is a very common condition encountered in the rheumatology clinic with rotator cuff disorders, glenohumeral disorders, acromioclavicular joint disease and referred neck pain being the most common causes. Other rare causes have to be considered in the presence of “red flag” indicators. We describe a case of a patient with mild rheumatoid arthritis and a past medical history of stage 2C epithelial ovarian carcinoma who presented to the rheumatology clinic with a painful shoulder and who was initially diagnosed with rotator cuff tendinopathy. When seen 3 months later she was found to have a 15 x 10-cm firm, non-tender soft tissue mass over the right scapula and X-rays showed a large lytic mass destroying much of the upper border of the scapula, suggestive of metastasis. Bone metastases in patients with ovarian carcinoma are very rare; they occur in about 2% of cases and are invariably predictors of poor prognosis. To our knowledge, this is the first case of ovarian cancer metastasised to the scapula. We suggest that rheumatologists should be aware of the differential diagnosis of painful shoulder and look for “red flag” indicators in patients with known rheumatic conditions.
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DOI: 10.1007/s10067-006-0443-7
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ISTEX:12E362EA3D68C3856B3E60CE35B2A74F25CAECD7Le document en format XML
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Other rare causes have to be considered in the presence of “red flag” indicators. We describe a case of a patient with mild rheumatoid arthritis and a past medical history of stage 2C epithelial ovarian carcinoma who presented to the rheumatology clinic with a painful shoulder and who was initially diagnosed with rotator cuff tendinopathy. When seen 3 months later she was found to have a 15 x 10-cm firm, non-tender soft tissue mass over the right scapula and X-rays showed a large lytic mass destroying much of the upper border of the scapula, suggestive of metastasis. Bone metastases in patients with ovarian carcinoma are very rare; they occur in about 2% of cases and are invariably predictors of poor prognosis. To our knowledge, this is the first case of ovarian cancer metastasised to the scapula. 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Other rare causes have to be considered in the presence of “red flag” indicators. We describe a case of a patient with mild rheumatoid arthritis and a past medical history of stage 2C epithelial ovarian carcinoma who presented to the rheumatology clinic with a painful shoulder and who was initially diagnosed with rotator cuff tendinopathy. When seen 3 months later she was found to have a 15 x 10-cm firm, non-tender soft tissue mass over the right scapula and X-rays showed a large lytic mass destroying much of the upper border of the scapula, suggestive of metastasis. Bone metastases in patients with ovarian carcinoma are very rare; they occur in about 2% of cases and are invariably predictors of poor prognosis. To our knowledge, this is the first case of ovarian cancer metastasised to the scapula. We suggest that rheumatologists should be aware of the differential diagnosis of painful shoulder and look for “red flag” indicators in patients with known rheumatic conditions.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>Metastasis</term></item><item><term>Ovarian carcinoma</term></item><item><term>Shoulder pain</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>Medicine & Public Health</head><item><term>Rheumatology</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2006-08-03">Created</change><change when="2007-09-01">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/ark:/67375/VQC-TTDJCX72-1/fulltext.txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus springer-journals not 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Grant="Restricted"></BodyPDFGrant><BodyHTMLGrant Grant="Restricted"></BodyHTMLGrant><BibliographyGrant Grant="Restricted"></BibliographyGrant><ESMGrant Grant="Restricted"></ESMGrant></ArticleGrants></ArticleInfo><ArticleHeader><AuthorGroup><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Esha</GivenName><FamilyName>Saha</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff1" CorrespondingAffiliationID="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Magdalena</GivenName><FamilyName>Dziadzio</FamilyName></AuthorName><Contact><Phone>+44-20-88695273</Phone><Fax>+44-20-84264358</Fax><Email>magdalena.dziadzio@nhs.net</Email></Contact></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Katherine</GivenName><FamilyName>Irving</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff2"><AuthorName DisplayOrder="Western"><GivenName>Anthony</GivenName><FamilyName>Chambers</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Clare</GivenName><FamilyName>Higgens</FamilyName></AuthorName></Author><Affiliation ID="Aff1"><OrgDivision>Arthritis Centre</OrgDivision><OrgName>Northwick Park Hospital</OrgName><OrgAddress><Street>Watford Road, Harrow</Street><City>London</City><Postcode>HA1 3UJ</Postcode><Country Code="GB">UK</Country></OrgAddress></Affiliation><Affiliation ID="Aff2"><OrgDivision>Department of Radiology</OrgDivision><OrgName>Northwick Park Hospital</OrgName><OrgAddress><City>London</City><Country Code="GB">UK</Country></OrgAddress></Affiliation></AuthorGroup><Abstract ID="Abs1" Language="En"><Heading>Abstract</Heading><Para>The painful shoulder is a very common condition encountered in the rheumatology clinic with rotator cuff disorders, glenohumeral disorders, acromioclavicular joint disease and referred neck pain being the most common causes. Other rare causes have to be considered in the presence of “red flag” indicators. We describe a case of a patient with mild rheumatoid arthritis and a past medical history of stage 2C epithelial ovarian carcinoma who presented to the rheumatology clinic with a painful shoulder and who was initially diagnosed with rotator cuff tendinopathy. When seen 3 months later she was found to have a 15 x 10-cm firm, non-tender soft tissue mass over the right scapula and X-rays showed a large lytic mass destroying much of the upper border of the scapula, suggestive of metastasis. Bone metastases in patients with ovarian carcinoma are very rare; they occur in about 2% of cases and are invariably predictors of poor prognosis. To our knowledge, this is the first case of ovarian cancer metastasised to the scapula. We suggest that rheumatologists should be aware of the differential diagnosis of painful shoulder and look for “red flag” indicators in patients with known rheumatic conditions.</Para></Abstract><KeywordGroup Language="En"><Heading>Keywords</Heading><Keyword>Metastasis</Keyword><Keyword>Ovarian carcinoma</Keyword><Keyword>Shoulder pain</Keyword></KeywordGroup></ArticleHeader><NoBody></NoBody></Article></Issue></Volume></Journal></Publisher></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Unusual cause of painful shoulder in an elderly woman with rheumatoid arthritis</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Unusual cause of painful shoulder in an elderly woman with rheumatoid arthritis</title></titleInfo><name type="personal"><namePart type="given">Esha</namePart><namePart type="family">Saha</namePart><affiliation>Arthritis Centre, Northwick Park Hospital, Watford Road, Harrow, HA1 3UJ, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal" displayLabel="corresp"><namePart type="given">Magdalena</namePart><namePart type="family">Dziadzio</namePart><affiliation>Arthritis Centre, Northwick Park Hospital, Watford Road, Harrow, HA1 3UJ, London, UK</affiliation><affiliation>E-mail: magdalena.dziadzio@nhs.net</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Katherine</namePart><namePart type="family">Irving</namePart><affiliation>Arthritis Centre, Northwick Park Hospital, Watford Road, Harrow, HA1 3UJ, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Anthony</namePart><namePart type="family">Chambers</namePart><affiliation>Department of Radiology, Northwick Park Hospital, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Clare</namePart><namePart type="family">Higgens</namePart><affiliation>Arthritis Centre, Northwick Park Hospital, Watford Road, Harrow, HA1 3UJ, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Report" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>Springer-Verlag</publisher><place><placeTerm type="text">London</placeTerm></place><dateCreated encoding="w3cdtf">2006-08-03</dateCreated><dateIssued encoding="w3cdtf">2007-09-01</dateIssued><copyrightDate encoding="w3cdtf">2006</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract lang="en">Abstract: The painful shoulder is a very common condition encountered in the rheumatology clinic with rotator cuff disorders, glenohumeral disorders, acromioclavicular joint disease and referred neck pain being the most common causes. Other rare causes have to be considered in the presence of “red flag” indicators. We describe a case of a patient with mild rheumatoid arthritis and a past medical history of stage 2C epithelial ovarian carcinoma who presented to the rheumatology clinic with a painful shoulder and who was initially diagnosed with rotator cuff tendinopathy. When seen 3 months later she was found to have a 15 x 10-cm firm, non-tender soft tissue mass over the right scapula and X-rays showed a large lytic mass destroying much of the upper border of the scapula, suggestive of metastasis. Bone metastases in patients with ovarian carcinoma are very rare; they occur in about 2% of cases and are invariably predictors of poor prognosis. To our knowledge, this is the first case of ovarian cancer metastasised to the scapula. We suggest that rheumatologists should be aware of the differential diagnosis of painful shoulder and look for “red flag” indicators in patients with known rheumatic conditions.</abstract><note>Case Report</note><subject lang="en"><genre>Keywords</genre><topic>Metastasis</topic><topic>Ovarian carcinoma</topic><topic>Shoulder pain</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Rheumatology</title><subTitle>Journal of the International League of Associations for Rheumatology</subTitle></titleInfo><titleInfo type="abbreviated"><title>Clin Rheumatol</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><originInfo><publisher>Springer</publisher><dateIssued encoding="w3cdtf">2007-07-27</dateIssued><copyrightDate encoding="w3cdtf">2007</copyrightDate></originInfo><subject><genre>Medicine & Public Health</genre><topic>Rheumatology</topic></subject><identifier type="ISSN">0770-3198</identifier><identifier type="eISSN">1434-9949</identifier><identifier type="JournalID">10067</identifier><identifier type="IssueArticleCount">41</identifier><identifier type="VolumeIssueCount">6</identifier><part><date>2007</date><detail type="volume"><number>26</number><caption>vol.</caption></detail><detail type="issue"><number>9</number><caption>no.</caption></detail><extent unit="pages"><start>1549</start><end>1551</end></extent></part><recordInfo><recordOrigin>Clinical Rheumatology, 2007</recordOrigin></recordInfo></relatedItem><identifier type="istex">12E362EA3D68C3856B3E60CE35B2A74F25CAECD7</identifier><identifier type="ark">ark:/67375/VQC-TTDJCX72-1</identifier><identifier type="DOI">10.1007/s10067-006-0443-7</identifier><identifier type="ArticleID">443</identifier><identifier type="ArticleID">s10067-006-0443-7</identifier><accessCondition type="use and reproduction" contentType="copyright">Clinical Rheumatology, 2006</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-3XSW68JL-F">springer</recordContentSource><recordOrigin>Clinical Rheumatology, 2006</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/ark:/67375/VQC-TTDJCX72-1/record.json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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