Relationship of the erythrocyte sedimentation rate to acute phase proteins in polymyalgia rheumatica and giant cell arteritis.
نویسندگان
چکیده
We have compared the erythrocyte sedimentation rate (ESR) with other acute phase proteins (C-reactive protein (CRP), alpha(1) antitrypsin, orosomucoid, and haptoglobin) in 108 patients with polymyalgia rheumatica and/or giant cell arteritis. There was good correlation between CRP and ESR, but the ESR was also found to have the highest correlation with disease activity. The additional measurement of CRP or other acute phase proteins may be of value in a minority of cases.
منابع مشابه
Giant cell arteritis and polymyalgia rheumatica.
The close relationship between giant cell arteritis and polymyalgia rheumatica has not been clearly explained. These disorders affect the same patient population and often coexist in the same person. Monitoring of the erythrocyte sedimentation rate is a useful tool in both diagnosis and treatment. Management with varying doses of prednisone has proved effective in resolving symptoms.
متن کاملAssociation of High w-6/w-3 Ratio Diet with an Ophthalmic Emergency in Patient with Polymyalgia Rheumatica and Giant Cell Arteritis
This is a report of two patients, one having polymyalgia rheumatica (PMR) and another with giant cell arteritis (GCA). Both the patients had raised erythrocyte sedimentation rate (ESR) and C-reactive protein and were consuming high w-6/w-3 fatty acid ratio diet. Both responded to prednisolone. Low w-3 ratio diet or fish oil should be considered for prevention of recurrence.
متن کاملPolymyalgia rheumatica: clinical picture and principles of treatment.
Polymyalgia rheumatica (PMR) is a common disease of the elderly. It is characterized by pain and stiffness in the neck, shoulders and the pelvic girdle. In most cases erythrocyte sedimentation rate and C-reactive protein levels are highly elevated. Polymyalgia rheumatica is frequently associated with giant cell arteritis. Steroids are the standard treatment for PMR but their dosage requires adj...
متن کاملErythrocyte sedimentation rate and C reactive protein in the assessment of polymyalgia rheumatica/giant cell arteritis on presentation and during follow up.
The erythrocyte sedimentation rate (ESR) and C reactive protein (CRP) were measured in 74 patients with polymyalgia rheumatica (PMR)/giant cell arteritis (GCA) on presentation, in the first month of treatment, and at long term follow up (up to 177 weeks). Before treatment the ESR was raised (greater than 30 mm/h) in all cases and the CRP was raised (greater than 6 mg/l) in 49/55 cases. The ESR ...
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Polymyalgia rheumatica is a relatively common syndrome of the elderly characterized by severe pain and stiffness in the neck shoulder and pelvic girdles, along with increased acute phase reactants. The current diagnostic criteria include as a requirement an erythrocyte sedimentation rate (ESR) higher than 30 or 40 mm/1 hr. Nevertheless, in several reports, a sizable proportion of patients with ...
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ورودعنوان ژورنال:
- Annals of the rheumatic diseases
دوره 40 5 شماره
صفحات -
تاریخ انتشار 1981