Recurrent dermatomyositis manifesting as a sign of recurrent transitional cell carcinoma of urinary bladder: Long-term survival

Recurrent dermatomyositis manifesting as a sign of recurrent transitional cell carcinoma of urinary bladder: Long-term survival

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The association between urological malignancies and paraneoplastic syndromes has been well documented.We report a case of recurrent dermatomyositis manifesting as a sign of metastatic recurrence of non-muscle-invasive transitional cell carcinoma of the bladder, a relationship which has only been referred to in a few reports.The case highlights a few important clinical challenges; firstly, the importance of thorough investigation for Skate Profile underlying malignancy in patients with dermatomyositis, as successful treatment of such malignancy can lead to resolution of paraneoplastic symptoms, and secondly, a high index of suspicion of recurrence in cases where paraneoplastic manifestations recur.Metastatic pulmonary recurrence without local evidence of disease at a follow-up of 4 years makes this case unique.

Moreover, in the light of our experience and reported literature, glove pouch a framework is suggested to approach such a diagnostic dilemma in the future.Description of the case will guide clinicians in the future, in case they encounter such an unusual clinical scenario.This could also serve as a hypothesis-generating source for designing future research as well.