Document Detail

Atypical presentations of polymyalgia rheumatica.
MedLine Citation:
PMID:  2317225     Owner:  NLM     Status:  MEDLINE    
Seventy patients with polymyalgia rheumatica (PMR) were seen at a suburban rheumatology practice from July 1983 to December 1987. Six of these patients presented without the typical limb girdle features associated with PMR. Presenting symptoms included peripheral synovitis or unilateral shoulder pain (3 patients), lower leg pain (3 patients), carpal tunnel syndrome (1 patient), and abdominal pain (1 patient). The disease evolved into the recognizable syndrome of PMR over a period of 2-12 months. We suggest that PMR may present in a variety of guises, or have a "stuttering evolution" to the full syndrome. The presenting manifestations of these atypical cases result from peripheral synovitis and thus represent a variant of the more common subclinical proximal synovitis seen in PMR. Increased clinical awareness of atypical presentations may assist earlier diagnosis and effective treatment.
M A Fitzcharles; J M Esdaile
Related Documents :
8447535 - Direct revascularization for the treatment of forearm and hand ischemia.
8377245 - The natural history of patients with claudication with toe pressures of 40 mm hg or less.
22738665 - Toxicity after (125)i prostate brachytherapy in patients with inflammatory bowel disease.
8609135 - Function of the upper extremities in hereditary multiple exostoses.
21944665 - Appraising stroke risk in maintenance hemodialysis patients: a large single-center coho...
2673315 - Pharmacokinetics of felodipine after intravenous and chronic oral administration in pat...
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Arthritis and rheumatism     Volume:  33     ISSN:  0004-3591     ISO Abbreviation:  Arthritis Rheum.     Publication Date:  1990 Mar 
Date Detail:
Created Date:  1990-04-20     Completed Date:  1990-04-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370605     Medline TA:  Arthritis Rheum     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  403-6     Citation Subset:  AIM; IM    
Rheumatic Disease Unit, McGill University, Montreal, Quebec, Canada.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Hip / pathology,  physiopathology
Middle Aged
Neck / pathology,  physiopathology
Polymyalgia Rheumatica / diagnosis,  pathology*,  physiopathology
Shoulder / pathology,  physiopathology
Weight Loss

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  High frequency of fibromyalgia in patients with chronic fatigue seen in a primary care practice.
Next Document:  Associations between clinical status questionnaire scores and formal education level in persons with...