In 1989, a 48-year-old white woman with wellcontrolled hypertension and type 2 diabetes was treated with abdominoperineal resection with definitive colostomy because of a 4-cm anal squamous cell cancerous tumor,… Click to show full abstract
In 1989, a 48-year-old white woman with wellcontrolled hypertension and type 2 diabetes was treated with abdominoperineal resection with definitive colostomy because of a 4-cm anal squamous cell cancerous tumor, with zero of four lymph nodes affected. The patient received adjuvant radiotherapy with 5,000 cGy in 25 sessions. After 1 year, she developed hepatitis C and was treated with peginterferon, with good disease control at that time.However, in 2009, at age68 years, shedevelopedpsoriatic arthritis. Shebegan taking etanercept in 2013 with clinical benefit and continued taking the drug until recently.
               
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