No abstract available.
Epidemiologic Studies* ; Polymyalgia Rheumatica*

No abstract available.
Clarithromycin ; Polymyalgia Rheumatica ; Prednisolone ; Tacrolimus

Polymyalgia rheumatica is characterized by pain and stiffness of the shoulder and pelvic girdles, morning stiffness, constitutional symptoms and an elevated erythrocyte sedimentation rate. We have experienced a 45-year-old female patient with polymyalgia rheumatica who presented with pain and stiffness of the shoulder and pelvic girdle, an elevated erythrocyte sedimentation rate and dramatic response to low-dose steroids. To our knowledge, thes is the second case of polymyalgia rheumatica with a brief review of literature.
Blood Sedimentation ; Female ; Humans ; Middle Aged ; Polymyalgia Rheumatica* ; Shoulder ; Steroids

Professor - has gradually improved the clinical application of channel palpation treatment based on his more than 50 years clinical practice, and has accumulated rich experience in acupuncture treatment of polymyalgia rheumatica. He believes that "wind, cold and dampness" are the external causes of the disease, physical factors, uncomfortable mood and uncontrolled diet are the internal causes. The meridian-collateral theory is utilized in the diagnosis and detection of the disorders of , and meridians, internal and external causes are solved by expelling the wind, warming the channel to eliminate the coldness, transforming the dampness to relieve pain and regulating the activity. Three cases of clinical application on polymyalgia rheumatica were included in this paper.
Acupuncture Points ; Acupuncture Therapy ; Humans ; Meridians ; Palpation ; Polymyalgia Rheumatica

Polymyalgia rheumatica (PMR) is an inflammatory rheumatic condition characterized by generalized pain and morning stiffness in the shoulders, hip girdle, and neck. Since the pathogenesis of PMR is still uncertain, the diagnosis of PMR depends on clinical features. There have been several studies regarding radiological tools for the diagnosis of PMR. Recent studies using 18-FDG-PET showed bursitis, synovitis, uptake in the spinous process and asymptomatic large-vessel vasculitis in PMR patients. However, there was no report on the efficacy of 18-FDG-PET for diagnosis of PMR in Korea. Here, we are first reporting a case of a Korean patient with PMR, who had radiological findings including bursitis, synovitis, uptake in the spinous process and asymptomatic large-vessel vasculitis on 18-FDG-PET/CT.
Bursitis ; Hip ; Humans ; Korea ; Neck ; Polymyalgia Rheumatica ; Positron-Emission Tomography and Computed Tomography ; Shoulder ; Synovitis ; Vasculitis

Giant cell arteritis is an inflammatory disease that mainly involves the cranial branches of the arteries originating from the aortic arch. It affects the white populations over the age of 50 almost exclusively who live in Northern Europe and in the United states. There is close relationship between giant cell arteritis and polymyalgia rheumatica. So far, there have been a few reports of temporal arteritis in Korea. However, giant cell arteritis with typical pathological findings in temporal artery has not been reported. We describe a case who showed typical pathological findings of giant cell arteritis in superficial temporal artery. She had been diagnosed as polymyalgia rheumatica in several months ago.
Aorta, Thoracic ; Arteries ; Europe ; Giant Cell Arteritis* ; Giant Cells* ; Korea ; Polymyalgia Rheumatica* ; Temporal Arteries ; United States

Polymyalgia rheumatica is characterized by bilateral shoulder or pelvic girdle pain, morning stiffness of greater than 45 minutes' duration, constitutional symptoms, an elevated erythrocyte sedimentation rate and a rapid response to prednisolone (< or = 20 mg/day). Although it is not a rare disease, many cases might be neglected and treated inappropriately in pain clinics. We describe here two cases of polymyalgia rheumatica that was neglected and treated inappropriately.
Blood Sedimentation ; Pain Clinics ; Pelvic Girdle Pain ; Polymyalgia Rheumatica ; Prednisolone ; Rare Diseases ; Shoulder

Amyloidosis is a rare disease defined by extracellular deposits of amorphous fibrillar proteins, derived from aggregations of misfolded proteins. Localization of amyloidosis in the gallbladder is uncommon; only eight cases have been reported. We describe a case of amyloidosis diagnosed by cholecystectomy, which possibly also affected the liver and kidney. The patient was misdiagnosed with polymyalgia rheumatica, but after a cholecystectomy to treat chronic cholecystitis, we ultimately diagnosed him with amyloidosis. We review amyloidosis with gallbladder involvement in the literature.
Amyloidosis* ; Cholecystectomy ; Cholecystitis* ; Gallbladder ; Humans ; Kidney ; Liver ; Polymyalgia Rheumatica* ; Rare Diseases

Remitting seronegative symmetrical synovitis with pitting edema (RS3PE) syndrome is a rare condition that occurs in elderly individuals. It is characterized by sudden onset of bilateral symmetrical distal tenosynovitis that accompanied by obvious swelling of the hand with pitting edema and absence of rheumatoid factor (RF). This disease entity sometimes presented as overlap syndrome with other rheumatic diseases and needed to be differentiated from those. However, if the diagnosis is confirmed, the response to steroid is good. The purpose of this report is to describe the case of RS3PE syndrome presented with bilateral hand dorsum edema in a middle-aged woman.
Aged ; Diagnosis ; Edema ; Female ; Hand ; Humans ; Polymyalgia Rheumatica ; Rheumatic Diseases ; Rheumatoid Factor ; Synovitis ; Tenosynovitis

Giant cell arteritis (GCA) is a systemic vasculitis which typically occurs in persons over 50 years old. GCA is closely related to polymyalgia rheumatica (PMR). A temporal artery biopsy is the gold standard test for the diagnosis of GCA. Recently, there is increasing evidence for the role of 18F-fluorodeoxyglucose positron emission tomography (18F-FDG-PET) in diagnosis of vasculitis. Here, we report on a case of a 67-year-old Korean male who was diagnosed with atypical GCA in subclinical stage concomitant with PMR by 18F-FDG-PET. After treatment, abnormal findings of 18F-FDG-PET were improved.
Aged ; Biopsy ; Diagnosis ; Giant Cell Arteritis* ; Giant Cells* ; Humans ; Male ; Polymyalgia Rheumatica ; Positron-Emission Tomography ; Systemic Vasculitis ; Temporal Arteries ; Vasculitis