Polymyalgia rheumatica

被引：0
作者：
Schmidt, W. A. [1 ]
机构：
[1] Immanuel Krankenhaus Berlin, Rheumaklin Berlin Buch, D-13125 Berlin, Germany
来源：
ZEITSCHRIFT FUR RHEUMATOLOGIE | 2013年 / 72卷 / 01期
关键词：
Ultrasonography; Glucocorticoids; Methotrexate; Giant cell arteritis; Temporal arteritis; GIANT-CELL ARTERITIS; ARTHRITIS; ULTRASONOGRAPHY; PREVALENCE; DIAGNOSIS;
D O I：
10.1007/s00393-012-1103-8
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Polymyalgia rheumatica is characterized by bilateral pain in the shoulder and pelvic girdles, malaise, morning stiffness and weight loss. The erythrocyte sedimentation rate (ESR) and the C-reactive protein (CRP) level are elevated. Imaging using ultrasound, magnetic resonance imaging (MRI) or positron emission tomography (PET) displays inflammatory changes in the painful anatomical areas. Nearly all patients are older than 50 years and the average age is 70-75 years. Polymyalgia rheumatica occurs 2-3 times more often in women than in men and some patients exhibit temporal arteritis or giant cell arteritis. Symptoms rapidly decrease with glucocorticoid treatment and the dose can normally be reduced during the course of the disease. Methotrexate may be given only if high glucocorticoid doses do not sufficiently control symptoms. On average treatment can be stopped after 2 years.
引用
收藏
页码：59 / 65
页数：7
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