J Korean Soc Surg Hand.
2009 Mar;14(1):33-35.
Palmar Fasciitis and Polyarthritis Syndrome Associated with Ovarian Carcinoma : A Case Report
- Affiliations
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- 1Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul, Korea. hsgong@snu.ac.kr
- 2Department of Orthopedic Surgery, National Police Hospital, Seoul, Korea.
Abstract
- Palmar fasciitis and polyarthritis syndrome (PFPAS) is an uncommon paraneoplastic syndrome characterized by rapidly progressive flexion contracture of both hands, inflammatory fasciitis, fibrosis and generalized inflammatory arthritis. We report a case of PFPAS associated with ovarian carcinoma, which was initially misdiagnosed as seronegative rheumatoid arthritis. A correct diagnosis was made after the patient underwent surgery for a pelvic tumor, which was incidentally found on a CT scan that she had taken after sustaining a traffic accident. PFPAS is one of differential diagnoses for progressive flexion contracture of both hands presenting to hand surgeons, and a careful oncologic examination should be considered in a female patient with unexplained hand pain, digital contracture and generalized arthritis
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