Occam's Razor or Hickam's Dictum: A Paraneoplastic or Coincidental Occurrence of Lung Cancer and Guillain-Barré Syndrome

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著者

    • Watanuki Satoshi
    • Department of Medicine, Mito Kyodo General Hospital, University of Tsukuba, Japan|Department of Rheumatology, Tokyo Metropolitan Tama Medical Center, Japan
    • Kinoshita Kensuke
    • Department of Medicine, Mito Kyodo General Hospital, University of Tsukuba, Japan
    • Oda Akiko
    • Department of Medicine, Mito Kyodo General Hospital, University of Tsukuba, Japan
    • Kobayashi Hiroyuki
    • Department of Medicine, Mito Kyodo General Hospital, University of Tsukuba, Japan
    • Satoh Hiroaki
    • Department of Medicine, Mito Kyodo General Hospital, University of Tsukuba, Japan
    • Tokuda Yasuharu
    • Department of Medicine, Mito Kyodo General Hospital, University of Tsukuba, Japan

抄録

A 67-year-old man was admitted due to weakness, coughing, shortness of breath and fever. He had decreased breath sounds in the left lung and muscle weakness in the lower and upper extremities. Chest imaging showed a mass in the left lung, and a biopsy revealed small cell lung cancer. The nerve conduction velocity was decreased, and anti-GM1 IgG antibodies were positive. The patient showed a temporary neurologic recovery following the administration of cancer chemotherapy, although he eventually died of progression of lung cancer. As a result of the almost simultaneous symptomatic development of lung cancer and Guillain-Barré syndrome, this case may be considered to involve a paraneoplastic neurologic syndrome.<br>

収録刊行物

  • Internal Medicine

    Internal Medicine 53(14), 1569-1573, 2014

    一般社団法人 日本内科学会

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