| Polymyalgia rheumatica is associated with extensor tendon tenosynovitis but not with synovitis of the hands: a magnetic resonance imaging study. | |
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MedLine Citation:
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PMID: 21071481 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Objectives. To study with MRI the hands of consecutive PMR patients, who were not selected on the basis of peripheral arthritis, with a correlation to clinical and laboratory findings. Methods. Twenty-six hands of 15 PMR patients and 26 hands of 13 healthy controls were studied by extremity-dedicated MRI for the presence of synovitis, tenosynovitis, soft-tissue oedema, bone marrow oedema and erosions. Results. Sixteen (61.6%) of the 26 PMR hands and 4 (15.4%) of the 26 control hands showed tenosynovitis (P = 0.001). Extensor tendon tenosynovitis was seen in 9 (34.6%) of the 26 PMR hands, but in only 1 (3.8%) control hand (P = 0.002) and flexor tenosynovitis was seen in 12 (46.1%) of the 26 PMR hands and in 4 (15.4%) of the 26 control hands (P = 0.03). All other features were similar in the two groups. Conclusions. Our data support the view that tenosynovitis, especially of the extensor tendons, is a frequent event in PMR, unrelated to clinical involvement of the hand. This finding is in agreement with the concept of PMR as a disease of extra-articular structures. |
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Authors:
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Marco A Cimmino; Massimiliano Parodi; Giuseppe Zampogna; Francesca Barbieri; Giacomo Garlaschi |
Publication Detail:
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Type: Journal Article Date: 2010-11-11 |
Journal Detail:
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Title: Rheumatology (Oxford, England) Volume: 50 ISSN: 1462-0332 ISO Abbreviation: Rheumatology (Oxford) Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-02-22 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100883501 Medline TA: Rheumatology (Oxford) Country: England |
Other Details:
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Languages: eng Pagination: 494-9 Citation Subset: AIM; IM |
Affiliation:
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Dipartimento di Medicina Interna e Specialità Mediche, Clinica Reumatologica, Viale Benedetto XV 6, 16132 Genova, Italy. cimmino@unige.it. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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