Imaging in polymyalgia rheumatica

Imaging indications in polymyalgia rheumatica

The diagnosis of polymyalgia rheumatica (PMR), characterized by proximal pain and stiffness, is often uncertain owing to PMR mimics, such as rheumatoid arthritis (RA), spondyloarthritides, inf lammatory myopathies connective tissue diseases and vasculitis – all of which can present with the polymyalgic syndrome in the elderly. Inflammatory markers are often discordant with disease activity and ...

Magnetic resonance imaging and polymyalgia rheumatica.

Subclinical vasculitis in polymyalgia rheumatica.

Polymyalgia rheumatica (PMR) is an inflammatory condition of the aging population characterised by pain, stiVness, and symmetrical involvement of shoulder and pelvic girdles. It has been proposed that the primary site of disease may reside outside the synovial joint, 2 but its aetiopathogenesis remains ill understood. There is good indirect evidence that vasculitis is important in the pathogene...

Update on polymyalgia rheumatica.

Polymyalgia rheumatica is an inflammatory disease of unknown etiology affecting individuals aged fifty years and older, mainly of Caucasian ethnicity. Polymyalgia rheumatica is associated with giant cell arteritis more frequently than expected by chance alone. In both conditions, females are affected two to three times more often than males. The clinical hallmark manifestations of polymyalgia r...

Polymyositis, not polymyalgia rheumatica.

The distinction between polymyalgia rheumatica and polymyositis is important for treatment and prognosis. Four elderly patients were diagnosed and treated for polymyalgia: raised creatine kinase led to muscle biopsy and a diagnosis of polymyositis.