A 71-year-old man presented with breathlessness and visual disturbance. On examination of the chest, he had signs suggestive of a right-sided pleural effusion and a neurological examination yielded conjugate vertical gaze palsy. Subsequent investigations revealed pleural thickening and mesothelioma. His anti-Ma2 antibodies were positive indicating a paraneoplastic syndrome as the cause of the vertical gaze palsy.
- lung cancer
- rare lung diseases
- asbestos induced lung disease
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Collaborators Ali Waqar; Daniel Menzies.
Contributors ABW and DM conceived the case study. MC supplied slides and provided expertise on the histopathological specimen. MD was consulted for neurology opinion and helped in exhibiting patient symptoms on the video provided.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Parental/guardian consent obtained
Provenance and peer review Not commissioned; externally peer reviewed.
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