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Age and Ageing 2005 34(3):305-306; doi:10.1093/ageing/afi079
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© The Author 2005. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org

Case Report

An unusual case of weight loss in a patient with refractory rheumatoid arthritis

Jonathan Birns1, Yiannis Ioannou2 and Michael E. Shipley2

1 Department of Stroke Medicine, Guy’s, King’s and St Thomas’ School of Medicine, Bessemer Road, London SE5 9PJ, UK
2 Centre for Rheumatology, University College London Hospitals, 4th Floor, Arthur Stanley House, 40–50 Tottenham Street, London W1T 4NJ, UK

Address correspondence to: J. Birns. Fax (+44) 020 7346 3195. Email: jonathan.birns{at}kcl.ac.uk

We describe a case of metastatic malignant melanoma with no primary cutaneous lesion presenting as weight loss in a man with refractory, seropositive rheumatoid arthritis (RA). The patient had undergone multiple investigations previously and the case highlights the importance of repeat assessment in elderly patients presenting with unexplained weight loss.

Keywords: rheumatoid arthritis, malignant melanoma, weight loss, elderly

Received October 15, 2004; Revision received February 16, 2005. accepted in revised form February 16, 2005.


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