title: Acute arthritis of carpal bones secondary to metastatic gastric cancer.
abstract: A 39-year-old woman presented with acute onset of arthralgia in both wrists. Although her primary gastric cancer was in remission after previous treatment, carcinomatous arthritis was suggested by the osteolytic radiographic findings and refractoriness to nonsteroidal anti-inflammatory drugs, which was then confirmed by synovial fluid cytopathology. In view of the high incidence of gastric cancer in Korea, gastric cancer involving the carpal bones should be considered when we encounter a patient presenting with inflammatory peripheral joint arthritis, which might be the first sign of recurrence.
authors.affiliation: Division of Hematology-Oncology, Korea University Guro Hospital, 97 Guro-dong, Guro-gu, 152-703, Seoul, Korea.
authors.forename: Kyong-Hwa
authors.initials: KH
authors.lastname: Park
authors.forename: Young-Hee
authors.initials: YH
authors.lastname: Rho
authors.forename: Seong-Jae
authors.initials: SJ
authors.lastname: Choi
authors.forename: Suk-Joo
authors.initials: SJ
authors.lastname: Hong
authors.forename: Ju-Han
authors.initials: JH
authors.lastname: Lee
authors.forename: In-Keun
authors.initials: IK
authors.lastname: Choi
authors.forename: Seok-Jin
authors.initials: SJ
authors.lastname: Kim
authors.forename: Jae-Hong
authors.initials: JH
authors.lastname: Seo
authors.forename: Chul-Won
authors.initials: CW
authors.lastname: Choi
authors.forename: Byung-Soo
authors.initials: BS
authors.lastname: Kim
authors.forename: Sang-Won
authors.initials: SW
authors.lastname: Shin
authors.forename: Yeul-Hong
authors.initials: YH
authors.lastname: Kim
authors.forename: Gwan-Gyu
authors.initials: GG
authors.lastname: Song
authors.forename: Jun-Suk
authors.initials: JS
authors.lastname: Kim
mesh_terms: D000328:Adult; D001168:Arthritis / Q000209:etiology*; D001859:Bone Neoplasms / Q000556:secondary; D002348:Carpal Bones; D050824:Carpal Joints; D005260:Female; D006801:Humans; D010257:Paraneoplastic Syndromes; D013274:Stomach Neoplasms / Q000150:complications*