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March 11, 1983

Coexistence of Polymyositis and Carcinoid Bronchial Adenoma

Author Affiliations

Cook County Hospital Chicago

JAMA. 1983;249(10):1266-1267. doi:10.1001/jama.1983.03330340016013

To the Editor.—  A 57-year-old woman was admitted for evaluation of a persistent cough producing a mucoid sputum and dull right-sided chest pain of two months' duration. The condition was diagnosed three years ago as polymyositis by muscle enzyme studies, electromyogram, and muscle biopsy. She had required hospitalization for progressive weakness, the diagnosis being corroborated by increasingly high creatine kinase levels. There was a good response to corticosteroid therapy. At that time, a chest roentgenogram showed basilar reticulonodular infiltrates, and pulmonary function studies showed a faradvanced restrictive pattern (vital capacity, 940 mL [33% predicted]; total lung capacity, 1,820 mL [42% predicted]). She had a history of smoking one pack of cigarettes daily for 14 years. The pertinent findings of the physical examination were limited to the chest, where crackles were heard at the bases. No skin lesions were observed. The creatine kinase level was 5,000 units and Pao2 was