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Revue du rhumatisme
Volume 73, n° 7
pages 763-765 (juillet 2006)
Doi : 10.1016/j.rhum.2005.08.010
Received : 15 Mars 2005 ;  accepted : 18 August 2005
Deux tumeurs bénignes révélées par une vascularite systémique : un syndrome paranéoplasique ?
Systemic vasculitis revealing a benign tumor: a paraneoplastic syndrome?
 

Marie-Anne Plaut, Soumaya El Mahou , Luciana Popa, Alain Cantagrel, Bernard Mazières, Michel Laroche
Service de rhumatologie, CHU de Rangueil, 1, avenue Jean-Poulhes, 31059 Toulouse, France 

Auteur correspondant.
Résumé

La survenue d'une vascularite systémique est rare au cours des tumeurs malignes solides, et non décrite au cours des tumeurs bénignes. Nous rapportons une observation d'un oncocytome rénal révélé par une nécrose digitale, des arthromyalgies et une altération de l'état général. La totale disparition des signes de vascularite après l'exérèse de la tumeur fait poser la question d'une origine « paranéoplasique ».

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Abstract
Abstract

Systemic vasculitis associated with solid neoplasia is a very rare entity and, in our knowledge, never reported with benign neoplasia. We report the first case of renal oncocytoma revealed by digital necrosis, arthromyalgia, asthenia and slimming. Complete diseappearance of symptoms after the neoplasia ablation let us supposed a “paraneoplastic” syndrome.

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Mots clés : Syndrome paranéoplasique, Vascularite, Tumeur bénigne

Keywords : Paraneoplastic syndrome, Vasculitis, Benign tumor


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