TY - JOUR
T1 - Paraneoplastic Necrotizing Autoimmune Myopathy in a Patient Undergoing Laparoscopic Pancreatoduodenectomy for Distal Cholangiocarcinoma
AU - van Dijk, Stefan
AU - van der Kooi, Anneke J.
AU - Aronica, Eleonora
AU - van Gulik, Thomas M.
AU - Busch, Olivier R.
AU - Besselink, Marc G.
PY - 2016
Y1 - 2016
N2 - A 73-year-old male presented with jaundice and severe muscle weakness. He was diagnosed with distal cholangiocarcinoma and paraneoplastic necrotizing autoimmune myopathy (NAM). Treatment of NAM consisted of dexamethasone pulse therapy, prednisone, and single-dose intravenous immunoglobulin. The distal cholangiocarcinoma was resected through a total laparoscopic pancreatoduodenectomy. After hospital discharge, muscle strength initially increased postoperatively; however, pneumonia resulted in the deterioration of his general condition and death 5 months after the diagnosis of paraneoplastic NAM
AB - A 73-year-old male presented with jaundice and severe muscle weakness. He was diagnosed with distal cholangiocarcinoma and paraneoplastic necrotizing autoimmune myopathy (NAM). Treatment of NAM consisted of dexamethasone pulse therapy, prednisone, and single-dose intravenous immunoglobulin. The distal cholangiocarcinoma was resected through a total laparoscopic pancreatoduodenectomy. After hospital discharge, muscle strength initially increased postoperatively; however, pneumonia resulted in the deterioration of his general condition and death 5 months after the diagnosis of paraneoplastic NAM
U2 - https://doi.org/10.1159/000448882
DO - https://doi.org/10.1159/000448882
M3 - Article
C2 - 27843429
SN - 1662-0631
VL - 10
SP - 525
EP - 530
JO - Case reports in gastroenterology
JF - Case reports in gastroenterology
IS - 3
ER -