[Oropharyngeal dysphagia as a first manifestation of dermatomyositis associated with colon cancer].

  • Espinoza-Cobos J
  • Perez-Figueroa J
  • Zuniga-Ahuet G
 et al. 
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Dermatomyositis (DM) is an idiopathic inflammatory myopathy associated with characteristic skin manifestations. In 15-20% of patients present with dysphagia, it is associated with nutritional deficiency, predisposition to aspiration pneumonia, decreased quality of life and a poor prognosis. There is a well-recognized association between DM and malignancies, including ovarian, breast, lung, and colon cancer. We report a case of a male patient aged 85 with DM associated with colon adenocarcinoma; progressive dysphagia was the first manifestation, and subsequently proximal muscle weakness and typical skin lesions were present. Given the clinical suspicion of DM as a paraneoplastic syndrome, tumor markers were order and a high carcinoembryonic antigen was found. A colonoscopy study and histopathologic examination revealed the presence of adenocarcinoma of the colon.

Author-supplied keywords

  • *Adenocarcinoma/co [Complications]
  • *Colonic Neoplasms/co [Complications]
  • *Deglutition Disorders/et [Etiology]
  • *Dermatomyositis/co [Complications]
  • *Paraneoplastic Syndromes/et [Etiology]
  • Adenocarcinoma/di [Diagnosis]
  • Aged, 80 and over
  • Colonic Neoplasms/di [Diagnosis]
  • Dermatomyositis/di [Diagnosis]
  • Humans
  • Male

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  • J C Espinoza-Cobos

  • J Perez-Figueroa

  • G Zuniga-Ahuet

  • M A Dorantes

  • P Grube-Pagola

  • I Ruiz-Juarez

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