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Journal of the American Geriatrics... Jun 2004
Review
Topics: Aged; Female; Hematologic Neoplasms; Humans; Polymyalgia Rheumatica
PubMed: 15161481
DOI: 10.1111/j.1532-5415.2004.52277_7.x -
Internal Medicine (Tokyo, Japan) Sep 2021
Topics: Diagnosis, Differential; Giant Cell Arteritis; Humans; Hypertrophy; Polymyalgia Rheumatica; Sternoclavicular Joint
PubMed: 33814497
DOI: 10.2169/internalmedicine.6860-20 -
The Practitioner Nov 2006
Review
Topics: Anti-Inflammatory Agents; Diagnosis, Differential; Humans; Polymyalgia Rheumatica; Prednisolone; Referral and Consultation
PubMed: 17194040
DOI: No ID Found -
Revue Des Maladies Respiratoires Jan 2013Polymyalgia rheumatica is an inflammatory condition belonging to the connective tissue diseases, which occurs quite frequently in the elderly. Previously, cases have... (Review)
Review
Polymyalgia rheumatica is an inflammatory condition belonging to the connective tissue diseases, which occurs quite frequently in the elderly. Previously, cases have been reported in association with malignant tumours, in a synchronous fashion or prior to the appearance of the cancer. In these cases, the polymyalgia rheumatica is considered to be a paraneoplastic syndrome. We report the cases of a 63-year-old woman and a 58-year-old man with severe proximal girdle pain associated to a high-level of systemic inflammatory markers and a diagnosis of polymyalgia rheumatica was made. In the face of a lack of ineffectiveness of analgesic and anti-inflammatory treatments, an intensive investigation was undertaken which in both cases revealed an adenocarcinoma of the lung. The rheumatic manifestations responded well to chemotherapy targeting the lung tumour. We present here a review of the literature to give prominence to the diagnostic pitfalls that can occur around paraneoplastic polymyalgia rheumatica. The presence of therapeutic resistance at the onset of treatment and other atypical features may suggest the presence of an occult malignancy.
Topics: Diagnosis, Differential; Female; Humans; Lung Neoplasms; Male; Middle Aged; Neoplasms, Unknown Primary; Paraneoplastic Syndromes; Polymyalgia Rheumatica
PubMed: 23318192
DOI: 10.1016/j.rmr.2012.06.015 -
Bailliere's Clinical Rheumatology Aug 1995The original descriptions of polymyalgia rheumatica (PMR) and giant cell arteritis (GCA) in the medical literature date back to 1888 and 1890, respectively.... (Review)
Review
The original descriptions of polymyalgia rheumatica (PMR) and giant cell arteritis (GCA) in the medical literature date back to 1888 and 1890, respectively. Classification criteria for PMR and GCA are not standardized since most authors used subjective criteria based on their personal experience. Only one study has evaluated criteria for PMR and has found seven variables with high discriminant value. Criteria for GCA are less varied because a positive biopsy of the temporal artery is diagnostic. However, combinations of different clinical and laboratory features have been used for diagnosis when biopsy is negative or missing. Assessment of PMR/GCA is based on the serial determination of markers of acute phase such as ESR, CRP, or plasma viscosity. However, their value in predicting recurrence of the diseases is poor. New immunological factors including soluble interleukin-2 receptors, interleukin-6, serum soluble CD8, and serum soluble intercellular adhesion molecule-1 are presently under investigation.
Topics: Giant Cell Arteritis; Humans; Polymyalgia Rheumatica
PubMed: 7497536
DOI: 10.1016/s0950-3579(05)80256-0 -
Clinical and Experimental Rheumatology Sep 2023
Topics: Humans; Polymyalgia Rheumatica; Giant Cell Arteritis; Diagnosis, Differential; Patients
PubMed: 36719744
DOI: 10.55563/clinexprheumatol/dxmvl1 -
Arthritis and Rheumatism Aug 2006
Topics: Adrenal Cortex Hormones; Humans; Pain; Polymyalgia Rheumatica
PubMed: 16874793
DOI: 10.1002/art.22106 -
Presse Medicale (Paris, France : 1983) Dec 2023
Review
Topics: Humans; Polymyalgia Rheumatica; Immunoglobulin G4-Related Disease; Giant Cell Arteritis; Arthritis
PubMed: 37979836
DOI: 10.1016/j.lpm.2023.104206 -
Advance For Nurse Practitioners May 2003
Review
Topics: Adrenal Cortex Hormones; Aged; Diagnosis, Differential; Female; Humans; Male; Middle Aged; Polymyalgia Rheumatica
PubMed: 12754989
DOI: No ID Found -
BMJ (Clinical Research Ed.) Feb 2010
Topics: Humans; Polymyalgia Rheumatica; Practice Guidelines as Topic
PubMed: 20133367
DOI: 10.1136/bmj.c620