Musculoskeletal manifestations in polymyalgia rheumatica and temporal arteritis.

To evaluate the incidence and characteristics of musculoskeletal manifestations in polymyalgia rheumatica (PMR) and temporal arteritis (TA). METHODS The records of 163 cases of PMR or TA diagnosed over a 15 year period in one area of Spain were reviewed for the presence and type of musculoskeletal m...

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Autores: Narváez García, Francisco Javier, Nolla Solé, Joan Miquel, Narváez, José A., Clavaguera, M. T., Valverde García, José, Roig Escofet, D. (Daniel)
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2001
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/22474
Acceso en línea:https://hdl.handle.net/2445/22474
Access Level:acceso abierto
Palabra clave:Arteritis de cèl·lules gegants
Aparell locomotor
Miàlgia
Inflamació
Giant cell arteritis
Musculoskeletal system
Myalgia
Inflammation
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spelling Musculoskeletal manifestations in polymyalgia rheumatica and temporal arteritis.Narváez García, Francisco JavierNolla Solé, Joan MiquelNarváez, José A.Clavaguera, M. T.Valverde García, JoséRoig Escofet, D. (Daniel)Arteritis de cèl·lules gegantsAparell locomotorMiàlgiaInflamacióGiant cell arteritisMusculoskeletal systemMyalgiaInflammationTo evaluate the incidence and characteristics of musculoskeletal manifestations in polymyalgia rheumatica (PMR) and temporal arteritis (TA). METHODS The records of 163 cases of PMR or TA diagnosed over a 15 year period in one area of Spain were reviewed for the presence and type of musculoskeletal manifestations. RESULTS Of 163 patients, 90 had isolated PMR and 73 had TA. Eighteen of the 90 patients (20%) with isolated PMR developed distal peripheral arthritis either at diagnosis or during the course of the disease. When it occurred, synovitis was mild, monoarticular or pauci-articular, asymmetrical, transient, and not destructive. Other distal manifestations observed in these patients were carpal tunnel syndrome and distal extremity swelling with pitting oedema. In all cases these manifestations occurred in conjunction with active PMR. As expected, PMR was the most frequent musculoskeletal manifestation in patients with TA, occurring in 56% of cases. On the contrary, only 11% of patients with TA developed peripheral arthritis. An important finding was that peripheral arthritis in these patients appears to be linked only temporally to the presence of simultaneous PMR and is not observed in its absence. Distal extremity swelling or defined polyarthritis were not observed. CONCLUSION The spectrum of distal musculoskeletal manifestations of PMR in our series is similar to that reported in other populations. By contrast, distal musculoskeletal symptoms are uncommon in TA. The almost complete absence of distal musculoskeletal manifestations in patients with pure TA suggests different mechanisms of disease in PMR and TA, supporting the view of two separate conditions or one common disease in which host susceptibility influences the clinical expression.BMJ Group201220122001info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion4 p.application/pdfhttps://hdl.handle.net/2445/22474Articles publicats en revistes (Ciències Clíniques)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció digital del document publicat a: http://dx.doi.org/10.1136/ard.60.11.1060Annals of the Rheumatic Diseases, 2001, vol. 60, núm. 11, p. 1060-1063http://dx.doi.org/10.1136/ard.60.11.1060(c) BMJ Publishing Group Ltd, 2001info:eu-repo/semantics/openAccessoai:recercat.cat:2445/224742026-05-29T05:05:01Z
dc.title.none.fl_str_mv Musculoskeletal manifestations in polymyalgia rheumatica and temporal arteritis.
title Musculoskeletal manifestations in polymyalgia rheumatica and temporal arteritis.
spellingShingle Musculoskeletal manifestations in polymyalgia rheumatica and temporal arteritis.
Narváez García, Francisco Javier
Arteritis de cèl·lules gegants
Aparell locomotor
Miàlgia
Inflamació
Giant cell arteritis
Musculoskeletal system
Myalgia
Inflammation
title_short Musculoskeletal manifestations in polymyalgia rheumatica and temporal arteritis.
title_full Musculoskeletal manifestations in polymyalgia rheumatica and temporal arteritis.
title_fullStr Musculoskeletal manifestations in polymyalgia rheumatica and temporal arteritis.
title_full_unstemmed Musculoskeletal manifestations in polymyalgia rheumatica and temporal arteritis.
title_sort Musculoskeletal manifestations in polymyalgia rheumatica and temporal arteritis.
dc.creator.none.fl_str_mv Narváez García, Francisco Javier
Nolla Solé, Joan Miquel
Narváez, José A.
Clavaguera, M. T.
Valverde García, José
Roig Escofet, D. (Daniel)
author Narváez García, Francisco Javier
author_facet Narváez García, Francisco Javier
Nolla Solé, Joan Miquel
Narváez, José A.
Clavaguera, M. T.
Valverde García, José
Roig Escofet, D. (Daniel)
author_role author
author2 Nolla Solé, Joan Miquel
Narváez, José A.
Clavaguera, M. T.
Valverde García, José
Roig Escofet, D. (Daniel)
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Arteritis de cèl·lules gegants
Aparell locomotor
Miàlgia
Inflamació
Giant cell arteritis
Musculoskeletal system
Myalgia
Inflammation
topic Arteritis de cèl·lules gegants
Aparell locomotor
Miàlgia
Inflamació
Giant cell arteritis
Musculoskeletal system
Myalgia
Inflammation
description To evaluate the incidence and characteristics of musculoskeletal manifestations in polymyalgia rheumatica (PMR) and temporal arteritis (TA). METHODS The records of 163 cases of PMR or TA diagnosed over a 15 year period in one area of Spain were reviewed for the presence and type of musculoskeletal manifestations. RESULTS Of 163 patients, 90 had isolated PMR and 73 had TA. Eighteen of the 90 patients (20%) with isolated PMR developed distal peripheral arthritis either at diagnosis or during the course of the disease. When it occurred, synovitis was mild, monoarticular or pauci-articular, asymmetrical, transient, and not destructive. Other distal manifestations observed in these patients were carpal tunnel syndrome and distal extremity swelling with pitting oedema. In all cases these manifestations occurred in conjunction with active PMR. As expected, PMR was the most frequent musculoskeletal manifestation in patients with TA, occurring in 56% of cases. On the contrary, only 11% of patients with TA developed peripheral arthritis. An important finding was that peripheral arthritis in these patients appears to be linked only temporally to the presence of simultaneous PMR and is not observed in its absence. Distal extremity swelling or defined polyarthritis were not observed. CONCLUSION The spectrum of distal musculoskeletal manifestations of PMR in our series is similar to that reported in other populations. By contrast, distal musculoskeletal symptoms are uncommon in TA. The almost complete absence of distal musculoskeletal manifestations in patients with pure TA suggests different mechanisms of disease in PMR and TA, supporting the view of two separate conditions or one common disease in which host susceptibility influences the clinical expression.
publishDate 2001
dc.date.none.fl_str_mv 2001
2012
2012
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/22474
url https://hdl.handle.net/2445/22474
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció digital del document publicat a: http://dx.doi.org/10.1136/ard.60.11.1060
Annals of the Rheumatic Diseases, 2001, vol. 60, núm. 11, p. 1060-1063
http://dx.doi.org/10.1136/ard.60.11.1060
dc.rights.none.fl_str_mv (c) BMJ Publishing Group Ltd, 2001
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) BMJ Publishing Group Ltd, 2001
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 4 p.
application/pdf
dc.publisher.none.fl_str_mv BMJ Group
publisher.none.fl_str_mv BMJ Group
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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