FLEXION CONTRACTURES ASSOCIATED WITH A MALIGNANT NEOPLASM - A PARANEOPLASTIC-SYNDROME

A 71-year-old man developed polyarthritis and, subsequently, severe fl exion contractures of multiple joints, particularly the joints of the hands. Eighteen months after developing this disease a parailiacal lym ph node metastasis of an unknown primary cancer was found. We suggest that this patient's history, dominated by contractures that resembled the 'palmar fasciitis and polyarthritis syndrome', should be considere d as a paraneoplastic syndrome.