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Case Reports in Rheumatology
Volume 2015, Article ID 179696, 3 pages
http://dx.doi.org/10.1155/2015/179696
Case Report

A Case of Multicentric Carcinoid in a Patient with Psoriatic Spondyloarthropathy

1North Central Thames Foundation School, London NW3 2P, UK
2George Eliot Hospital NHS Trust, Nuneaton CV10 7DJ, UK
3Royal Free Hospital NHS Foundation Trust, London NW3 2QG, UK
4Addenbrooke’s Hospital, Cambridge CB2 0QQ, UK

Received 30 December 2014; Accepted 17 February 2015

Academic Editor: Suleyman Serdar Koca

Copyright © 2015 Nabil George et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We describe the first case of a patient presenting with multicentric carcinoid occurring in the lung and subsequently in the rectum, with chronic psoriatic arthritis. Although reports have been published regarding carcinoid syndrome occurring alongside rheumatoid arthritis, no reports have been made on such a case. Initial presentation of carcinoid syndrome in this patient was insidious and atypical with few symptoms, including shortness of breath and long standing abdominal bloating. Several years later a sudden change in bowel habit prompted a colonoscopy with biopsy that revealed a carcinoid rectal polyp. The case we report describes a rare presentation of carcinoid syndrome in chronic psoriatic arthropathy.