@article{oai:nagasaki-u.repo.nii.ac.jp:00001687,
 author = {Umetsu, Ayaka and Shimizu, Toshimasa and Iwamoto, Naoki and Hashiguchi, Keiichi and Eguchi, Mizuna and Okamoto, Momoko and Endo, Yushiro and Tsuji, Sosuke and Takatani, Ayuko and Igawa, Takashi and Sumiyoshi, Remi and Koga, Tomohiro and Kawashiri, Shin-ya and Ichinose, Kunihiro and Tamai, Mami and Nakamura, Hideki and Origuchi, Tomoki and Kawakami, Atsushi},
 issue = {6},
 journal = {Internal Medicine},
 month = {Mar},
 note = {A 70-year-old woman presented with a fever and pain in both lower extremities and the right shoulder and right upper arm continuously for approximately 3 months. 18F-fluorodeoxyglucose-positron emission 
tomography/computed tomography (18F-FDG/PET-CT) revealed the accumulation of FDG in the right shoulder, lumbar spinous processes, both ischial tuberosities, and both hips and greater trochanters, indicating polymyalgia rheumatica (PMR). In addition, upper gastrointestinal endoscopy revealed esophageal carcinoma.After endoscopic submucosal dissection was performed, her musculoskeletal symptoms spontaneously improved,and the 18F-FDG/PET-CT findings decreased. In light of these findings, she was diagnosed with paraneoplastic syndrome. 
When atypical features of PMR, such as asymmetric symptoms occur, we should search for malignancies., Internal medicine, 58(6), pp.861-864; 2019},
 pages = {861--864},
 title = {Paraneoplastic Syndrome Presenting with Polymyalgia Rheumatica-like Accumulations on 18F-fluorodeoxyglucose-Positron Emission Tomography/Computed Tomography},
 volume = {58},
 year = {2019}
}