Across rheumatic diseases

Paraneoplastic arthritis: a series of 92 cases

Rheumatology (Oxford)Published Retrospective case series

Authors' conclusion

Although PA is a rare condition, it can be confused with many rheumatological diseases. The most commonly involved joint is the knee joint, followed by the ankle and hand/wrist. Autoantibody negativity, high lactate dehydrogenase level and arthritis unresponsive to treatment constitute important clues for diagnosis.

Study context

Population
Patients with paraneoplastic arthritis from the last 10 years
Participants
92 patients
Exposure
Paraneoplastic arthritis (PA) vs Healthy control
  • PAn = 92
Outcome
Malignancy types in PA
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Lymphomas among PA with haematological malignancies (highest ratio)

25.6%

Lung cancer among PA with solid malignancy (most common)

41.5%

Observational data: associations, not effects.

Further findings

OutcomeP value
Anti-CCP positivityP = 0.014
  • Anti-CCP positivity: all malignant patients with PA had significant anti-CCP positivity vs healthy controls

Original publication

Paraneoplastic arthritis: a series of 92 cases. Rheumatology (Oxford). Published 21 September 2023. doi:10.1093/rheumatology/kead500

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