[Painful swollen joints with weakness: what's behind all this? Case 1/2013].
METHODS
We report on a 58-year-old patient with weight loss, weakness and polyarthralgia. She reported of recurrent drops, painful joints and muscle weakness.


METHODS
The patient had swollen joints, clubbing and cachexia. The radiogram of the hands and feet showed a hypertrophic oseoarthropathy. In further investigations we found a tumor in the upper left lung. The histology findings showed a adenocarcinoma of the lung.


METHODS
The diagnosis of a secondary hypertrophic osteoarthropathy (Pierre Marie-Bamberger syndrome) due to a adenocarcinoma of the lung was made. The patient refused a radiochemotherapy and decided to go on vacation. Further course is unknown.


CONCLUSIONS
Arthralgia is a common symptom for medical consultation. Pierre Marie-Bamberger syndrome is a rare cause of paraneoplastic arthritis. Notice that unspecific symptoms like weakness, weight loss and arthritis may result from paraneoplastic tumor disease.
Medizinische Klinik, Universitätsklinikum Tübingen.
Hanno
H
Bunz
Gunther
G
Zeh
Dominik
D
Nann
Marius
M
Horger
Ferruh
F
Artunc
Peter
P
Weyrich
D000230:Adenocarcinoma / Q000175:diagnosis*; D018771:Arthralgia / Q000175:diagnosis / Q000209:etiology*; D004487:Edema / Q000175:diagnosis* / Q000209:etiology*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis*; D008875:Middle Aged; D018908:Muscle Weakness / Q000209:etiology; D010005:Osteoarthropathy, Secondary Hypertrophic / Q000175:diagnosis / Q000209:etiology*; D015431:Weight Loss