Cancer-associated myositis: a 35-year retrospective study of a monocentric cohort

Rheumatol Int. 2014 Apr;34(4):565-9. doi: 10.1007/s00296-013-2910-1. Epub 2013 Dec 10.

Abstract

This study is aimed at retrospectively studying cancer-associated inflammatory myopathies (CAM) in a cohort of patients with inflammatory myopathies. CAM were diagnosed if the tumor was diagnosed 2 years before or after disease onset. One hundred and sixty-two patients were included, 27 (17 %) had CAM. A significant association was observed between CAM and dermatomyositis (DM), older age and dysphagia at disease onset. CAM have lower creatine kinase (CK) levels at onset and a low prevalence of autoantibodies. In conclusion, the association of male sex, older age, DM, dysphagia at onset, lower CK, and autoantibodies negativity carries a high suspicion of CAM.

MeSH terms

  • Age Factors
  • Autoantibodies / blood
  • Biomarkers / blood
  • Creatine Kinase / blood
  • Deglutition Disorders / epidemiology
  • Dermatomyositis / epidemiology
  • Female
  • Humans
  • Italy / epidemiology
  • Kaplan-Meier Estimate
  • Male
  • Middle Aged
  • Myositis / blood
  • Myositis / diagnosis
  • Myositis / epidemiology*
  • Myositis / mortality
  • Myositis / therapy
  • Neoplasms / diagnosis
  • Neoplasms / epidemiology*
  • Neoplasms / mortality
  • Neoplasms / therapy
  • Predictive Value of Tests
  • Prevalence
  • Prognosis
  • Retrospective Studies
  • Risk Factors
  • Time Factors

Substances

  • Autoantibodies
  • Biomarkers
  • Creatine Kinase