Musculoskeletal ultrasound in the evaluation of Polymyalgia Rheumatica.
نویسندگان
چکیده
Polymyalgia rheumatica (PMR) is a relatively frequent disease affecting individuals older than 50 years and is characterized by inflammatory involvement of the shoulder and hip girdles and the neck. Clinical manifestations are represented by pain and morning stiffness in this regions. An extensive and comprehensive assessment of the inflammatory status is crucial in PMR patients, including imaging evaluation. This narrative review reports the current available data in the literature about the role of musculoskeletal ultrasound in PMR.
منابع مشابه
Polymyalgia rheumatica and antimitochondrial antibodies.
Antimitochondrial antibodies (AMA) were detected in the sera of 11 of 36 patients with a clinical diagnosis of polymyalgia rheumatica (PMR) in whom comprehensive autoantibody screening had been performed. AMA did not correlate with biochemical changes of hepatic dysfunction, which are common in PMR, nor with parameters of musculoskeletal inflammation. Possible explanations are discussed.
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OBJECTIVES To review the evidence for accuracy of imaging for diagnosis of polymyalgia rheumatica (PMR). METHODS Searches included MEDLINE, EMBASE and PubMed. Evaluations of diagnostic accuracy of imaging tests for PMR were eligible, excluding reports with <10 PMR cases. Two authors independently extracted study data and three authors assessed methodological quality using modified QUADAS-2 cr...
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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 ...
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Objectives. To develop a scoring system for evaluating the extrasynovial soft tissue inflammation of the shoulders in patients with polymyalgia rheumatica (PMR) and elderly-onset rheumatoid arthritis with PMR-like onset (pm-EORA) using ultrasound. Methods. We analyzed stored power Doppler (PD) images obtained by the pretreatment examination of 15 PMR patients and 15 pm-EORA patients. A semiquan...
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عنوان ژورنال:
- Medical ultrasonography
دوره 17 3 شماره
صفحات -
تاریخ انتشار 2015