Left atrial myxoma detected after an initial diagnosis of polymyalgia rheumatica

Yoshinori Mano, Akihiro Yoshizawa, Yuji Itabashi, Takahiro Ohki, Tatsuo Takahashi, Mitsuharu Mori, Hankei Shin, Youichi Tanaka

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

We herein report the case of a 69-year-old woman with left atrial myxoma detected following treatment with glucocorticoids for an initial diagnosis of polymyalgia rheumatica (PMR). The glucocorticoids markedly improved the patient's symptoms, and the tumor was excised after rapidly tapering the glucocorticoid dose. The PMR-like symptoms did not recur and the inflammatory marker levels returned to normal after surgery. The patient's clinical course indicated that the initial PMR-like symptoms were entirely caused by the left atrial myxoma. This case demonstrates that glucocorticoid treatment for suspected PMR can mask the symptoms of myxoma, leading to a delay in diagnosis.

Original languageEnglish
Pages (from-to)441-444
Number of pages4
JournalInternal Medicine
Volume53
Issue number5
DOIs
Publication statusPublished - 2014
Externally publishedYes

Keywords

  • Glucocorticoids
  • Interleukin-6
  • Myxoma
  • Polymyalgia rheumatica

ASJC Scopus subject areas

  • Internal Medicine

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