title: Adult Still's disease as a paraneoplastic manifestation of breast cancer.
abstract: We treated a patient who developed symptoms and findings indistinguishable from those of adult Still's disease as a manifestation of metastatic breast cancer 7 years after treatment for a stage 1 tumor. Although clinical features fulfilled diagnostic criteria for adult Still's disease, examination of a bone marrow biopsy specimen indicated that the apparent adult Still's disease was a paraneoplastic manifestation associated with diffuse marrow infiltration by breast cancer. The fever and polyarthralgia resolved with administration of prednisolone, and antiestrogen therapy with tamoxifen citrate was also started.
authors.affiliation: The Third Department of Internal Medicine, Gunma University School of Medicine, Maebashi, Japan.
authors.forename: J
authors.initials: J
authors.lastname: Neishi
authors.forename: Y
authors.initials: Y
authors.lastname: Tsukada
authors.forename: T
authors.initials: T
authors.lastname: Maehara
authors.forename: K
authors.initials: K
authors.lastname: Ueki
authors.forename: A
authors.initials: A
authors.lastname: Maezawa
authors.forename: Y
authors.initials: Y
authors.lastname: Nojima
mesh_terms: D001943:Breast Neoplasms / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D010257:Paraneoplastic Syndromes / Q000175:diagnosis* / Q000209:etiology; D016706:Still's Disease, Adult-Onset / Q000175:diagnosis* / Q000209:etiology