[Bilateral shoulder-hand syndrome revealing hypothyroidism and colon carcinoma].
The autors describe a case of a bilateral shoulder-hand syndrome. A Hashimoto's thyroiditis bound hypothyroidism was retained as promoting factor. Rheumatic manifestations amended slowly with a treatment of corticosteroids associated to thyroid hormones replacement. Eighteen months after the onset of the rheumatic complaints, a colorectal cancer was also diagnosed. The respective role of hypothyroidism and cancer in the emergence of this severe shoulder-hand syndrome is discussed.
Service de rhumatologie, médecine physique et réhabilitation (RMR), CHUV, Lausanne.
R
R
Elmiger
J C
JC
Gerster
D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D000964:Antimetabolites, Antineoplastic / Q000008:administration & dosage / Q000627:therapeutic use; D017024:Chemotherapy, Adjuvant; D003110:Colonic Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005472:Fluorouracil / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D007037:Hypothyroidism / Q000150:complications / Q000175:diagnosis*; D008875:Middle Aged; D011877:Radionuclide Imaging; D012019:Reflex Sympathetic Dystrophy / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D013967:Thyroiditis, Autoimmune / Q000150:complications / Q000175:diagnosis*
D000964:Antimetabolites, Antineoplastic; D005472:Fluorouracil