ArticleCureus2025
Paraneoplastic Dermatomyositis Due to Gallbladder Carcinoma.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Dermatomyositis is an inflammatory myopathy that can be sporadic or paraneoplastic. A 72-year-old female presented with a subacute progressive illness characterized by symmetrical proximal weakness of upper and lower limbs, dysphagia, and neck flexor weakness. On examination, she had erythematous, scaly lesions over the periorbital areas, face, and interphalangeal and metacarpophalangeal joints (Gottron's papules). Neurological examination revealed bilateral palatal palsy, proximal predominant upper and lower limb and neck flexor weakness, areflexia with preserved knee jerks, waddling gait, and normal sensory modalities. Investigations showed polymorphonuclear leukocytosis and elevated creatine kinase. Electromyogram revealed short-duration, small-amplitude polyphasic potentials with fibrillations and positive sharp waves consistent with inflammatory myopathy. Antinuclear antibodies and myositis antibodies were negative. Contrast-enhanced CT revealed a polypoidal lesion in the gallbladder with liver metastasis. She declined a biopsy and was started on prednisolone with minimal improvement. The patient expired one month later.
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