An unusual case of weight loss in a patient with refractory rheumatoid arthritis.
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.
Birns
Jonathan
J
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
Ioannou
Yiannis
Y
Shipley
Michael E
ME
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
D018501:Antirheumatic Agents