title: Paraneoplastic polyarthritis in association with metastatic neuroendocrince tumour of the adrenal gland.
abstract: Paraneoplastic polyarthritis is a rare manifestation described in association with various solid tumours. We describe the clinical presentation, diagnostic evaluation, differential diagnosis, and management of a 28-year-old woman who presented with fever, weight loss, and symmetrical polyarthritis, subsequently diagnosed to have a metastatic neuroendocrine tumour of the adrenal gland with paraneoplastic polyarthritis. Paraneoplastic polyarthritis must be considered in polyarthritis unexplained by common aetiologies. The unusual presentation of this case, alerts us about the atypical presentation of these tumours. To the best of our knowledge, this is the first case study of a neuroendocrine tumour presenting as paraneoplastic polyarthritis.
authors.affiliation: Department of Endocrinology, Diabetes & Metabolism, Christian Medical College, Vellore, India.
authors.forename: Sahana
authors.initials: S
authors.lastname: Shetty
authors.affiliation: Department of Nuclear Medicine, Christian Medical College, Vellore, India.
authors.forename: Julie
authors.initials: J
authors.lastname: Hephzibah
authors.affiliation: Department of Endocrinology, Diabetes & Metabolism, Christian Medical College, Vellore, India.
authors.forename: Bidyut
authors.initials: B
authors.lastname: Borah
authors.affiliation: Department of General Pathology, Christian Medical College, Vellore, India.
authors.forename: Deepak
authors.initials: D
authors.lastname: Burad
authors.affiliation: Department of General Pathology, Christian Medical College, Vellore, India.
authors.forename: Vishnu
authors.initials: V
authors.lastname: Chandrakumar
authors.affiliation: Department of Endocrine Surgery, Christian Medical College, Vellore, India.
authors.forename: Mazhuvanchary Jacob
authors.initials: MJ
authors.lastname: Paul
authors.affiliation: Department of Endocrinology, Diabetes & Metabolism, Christian Medical College, Vellore, India.
authors.forename: Nihal
authors.initials: N
authors.lastname: Thomas
keywords: Paraneoplastic polyarthritis; metastasis; neuroendocrine tumour