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2012, vol. 18, br. 1-2, str. 33-35
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Lekar opšte medicine i reumatske manifestacije malignih tumora
The general practitioner and rheumatic manifestations of malignant tumors
Ključne reči: reumatska bolest; reumatske manifestacije; neoplazme
Sažetak
Lekari opšte medicine u svojoj svakodnevnoj praksi susreću, dijagnostikuju i leče različite pacijente. Neki od tih pacijenata spadaju u grupu polimorbidnih pacijenata, koji zahtevaju multidisciplinarni pristup i nije ih lako lečiti. Reumatske bolesti zauzimaju veliki deo ove vrste rada. Najčešća reumatska bolest u opštoj medicini je osteoartroza, koja je zastupljena kod 40% pacijenata koji se jave lekaru zbog tegoba u zglobovima. Ali osim ovih, dobro poznatih i ubedljivo prezentovanih dijagnoza, lekar opšte medicine viđa i druge reumatološke probleme koje je teže dijagnostikovati i razumeti. Jedan od primera takve reumatske patologije, koja je posebno interesantna za nas, jeste i 'reumatska maska' malignih bolesti, odnosno tumora i malignih hemopatija. Kasno postavljena dijagnoza u ovim slučajevima čini lečenje težim, a ishod - rđavim.
Abstract
The doctors in general medical practice meet, diagnose and treat different patients in their everyday practice. Some of those patients belong to the group 'polymorbid ones', which is not so easy to manage and requires a multidisciplinary approach. Rheumatic diseases occupy a large percentage of this type of work. Osteoarthrosis is the most common rheumatological disease in general practice and it reaches 40% of all people who consult their general practitioner (GP) with joint complaints. But apart from such well-known and convincingly presented diagnoses, the GPs see some other rheumatic problems that are harder to diagnose and understand. One of the examples of such rheumatic pathology, especially interesting for us, is the 'rheumatic mask' of malignant processes, i.e. different solid tumors and malignant hemopathies. A delayed diagnosis in those cases makes treatment harder and outcome - not good.
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Reference
|
|
   
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Abu-Shakra, M., Buskila, D., Ehrenfeld, M., Conrad, K., Shoenfeld, Y. (2001) Cancer and autoimmunity: Autoimmune and rheumatic features in patients with malignancies. Annals of the rheumatic diseases, 60(5): 433-41
|
|
|
Ashouri, J.F., Daikh, D.I. (2011) Rheumatic manifestations of cancer. Rheumatic diseases clinics of North America, 37(4): 489-505
|
|
|
Dorronsoro, M.I., Merino, M.R., Sastre-Urguellés, A., García-Miguel, G.P., García-Consuegra, M.J. (2004) Manifestaciones reumáticas como forma de comienzo de enfermedad maligna. Anales de Pediatría, 61(5): 393-397
|
|
|
Fam, A.G. (2000) Paraneoplastic rheumatic syndromes. Best Practice & Research Clinical Rheumatology, 14(3): 515-533
|
|
|
Jesus, G., Bakcelos, A., Neves, C., i dr. (2006) Rheumatic manifestation and neoplasms. Acta Rheumatol Port., Oct-Dec; 31(4); 305-21
|
|
|
Kiltz, U., Brandt, J., Zochling, J., Braun, J. (2007) Rheumatic manifestations of lymphoproliferative disorders. Clinical and experimental rheumatology, 25(1): 35-9
|
|
|
Marengo, M.F., Suarez-Almazor, M.E., Lu, H. (2011) Neoplastic and paraneoplastic synovitis. Rheumatic diseases clinics of North America, 37(4): 551-72
|
|
|
Mayet, W.J. (2011) Gastrointestinale Tumoren. Zeitschrift für Rheumatologie, 70(7): 567-572
|
|
1
|
Racanelli, V., Prete, M., Minoia, C., Favoino, E., Perosa, F. (2008) Rheumatic disorders as paraneoplastic syndromes. Autoimmunity Reviews, 7(5): 352-358
|
|
|
Ravindran, V., Anoop, P. (2011) Rheumatologic manifestations of benign and malignant haematological disorders. Clinical rheumatology, 30(9): 1143-9
|
|
|
Reuss-Borst, M.A. (2005) Rheumatic and hemato / oncological disorders. Zeitschrift fuer Rheumatologie, 64(1): 3-11
|
|
|
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