Description

Ingesting alcohol can trigger pain in some patients with an underlying disease.


 

Alcohol-induced pain:

(1) can be severe

(2) may precede the clinical detection of an occult tumor by weeks or months

(3) may be localized to sites involved by the underlying cause

(4) may be accompanied by other signs and symptoms (pruritis, coughing, etc)

(5) tends to regress with successful therapy of the cause and to relapse or progress with recurrence.

 

Conditions associated with alcohol-induced pain:

(1) Hodgkin’s disease

(2) other lymphoproliferative disorders

(3) carcinomas (lung, cervix, pancreas, bladder, breast, nasopharynx, etc)

(4) other malignancies (malignant chordoma, leiomyoblastoma, etc)

(5) tuberculous adenitis

(6) secondary syphilis

(7) chronic sialadenitis

(8) sarcoidosis

(9) eosinophilic granuloma

(10) osteomyelitis

 

Differential diagnosis:

(1) alcohol-induced pancreatitis

(2) disulfiram reaction

 


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