title: An unusual case of weight loss in a patient with refractory rheumatoid arthritis.
abstract: We describe a case of metastatic malignant melanoma with no primary cutaneous lesion presenting as weight loss in a man with refractory, seropositive rheumatoid arthritis (RA). The patient had undergone multiple investigations previously and the case highlights the importance of repeat assessment in elderly patients presenting with unexplained weight loss.
authors.affiliation: Department of Stroke Medicine, Guy's, King's and St Thomas' School of Medicine, Bessemer Road, London SE5 9PJ, UK. jonathan.birns@kcl.ac.uk
authors.forename: Jonathan
authors.initials: J
authors.lastname: Birns
authors.forename: Yiannis
authors.initials: Y
authors.lastname: Ioannou
authors.forename: Michael E
authors.initials: ME
authors.lastname: Shipley
mesh_terms: D000368:Aged; D018501:Antirheumatic Agents / Q000627:therapeutic use; D001172:Arthritis, Rheumatoid / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D001706:Biopsy; D003937:Diagnosis, Differential; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000473:pathology; D008113:Liver Neoplasms / Q000556:secondary*; D008297:Male; D008545:Melanoma / Q000556:secondary*; D009382:Neoplasms, Unknown Primary / Q000473:pathology*; D014463:Ultrasonography; D015431:Weight Loss
chemical_list: D018501:Antirheumatic Agents