Document Detail


Atypical presentations of polymyalgia rheumatica.
MedLine Citation:
PMID:  2317225     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
M A Fitzcharles; J M Esdaile
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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    
Affiliation:
Rheumatic Disease Unit, McGill University, Montreal, Quebec, Canada.
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MeSH Terms
Descriptor/Qualifier:
Aged
Fatigue
Female
Fever
Hip / pathology,  physiopathology
Humans
Male
Middle Aged
Neck / pathology,  physiopathology
Polymyalgia Rheumatica / diagnosis,  pathology*,  physiopathology
Shoulder / pathology,  physiopathology
Syndrome
Weight Loss

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


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