Polymyalgia rheumatica and giant-cell arteritis are closelyrelated conditions that affect persons of middle age and olderand frequently occur together. Many authorities consider themto be different phases of the same disease. Polymyalgia rheumaticais an inflammatory condition of unknown cause characterizedby aching and morning stiffness in the cervical region and shoulderand pelvic girdles. It usually responds rapidly to low dosesof corticosteroids and has a favorable prognosis.
The first description of polymyalgia rheumatica was providedby Bruce in 1888, who called this condition "senile rheumaticgout," thus emphasizing its occurrence in the elderly.1 In 1957,Barber . . . [Full Text of this Article]
Epidemiology and Diagnostic Criteria
Pathogenesis
Pathological Findings
Clinical Manifestations
Polymyalgia Rheumatica
Giant-Cell Arteritis
Laboratory Findings
Imaging
Treatment and Course
Differential Diagnosis
Future Perspectives
Source Information
From the Rheumatology Service, Arcispedale S. Maria Nuova, Reggio Emilia, Italy (C.S., L.B.); the Unit of Rheumatology, Division of Medicine, Ospedale di Prato, Prato, Italy (F.C.); and the Mayo Clinic, Rochester, Minn. (G.G.H.).
Address reprint requests to Dr. Salvarani at the Servizio di Reumatologia, Arcispedale S. Maria Nuova, Viale Umberto I N50, 42100 Reggio Emilia, Italy, or at salvarani.carlo@asmn.re.it.
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Polymyalgia Rheumatica and Giant-Cell Arteritis
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N Engl J Med 2002;
347:2083-2085, Dec 19, 2002.
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