RENAL-CELL CARCINOMA PRESENTING AS POLYMYALGIA-RHEUMATICA - RESOLUTION AFTER NEPHRECTOMY

Renal cell carcinoma can present as a variety of paraneoplastic, nonme tastatic conditions including vasculitis. We describe a patient who pr esented with the polymyalgia rheumatica syndrome but did not respond t o a trial of prednisone. An asymptomatic, nonmetastatic renal cell car cinoma was found during this patient's evaluation. Nephrectomy led to resolution of the systemic complaints. Malignancy, in this case, renal cell carcinoma, can present as polymyalgia rheumatica and resolve aft er surgical removal of the underlying tumor.