Polymyalgia rheumatica and temporal arteritis: diagnosis and management.

摘要: Polymyalgia rheumatica and temporal arteritis are regarded as clinical syndromes affecting elderly people. They may occur in the same patient, producing constitutional symptoms with increased acute phase reactants. Both respond rapidly to corticosteroids, both artery biopsy show giant cells (biopsy proved cell arteritis). The considered be different manifestations of arteritis. Dixon et al obtained 10 positive samples 29 patients polymyalgia rheumatica.2 The incidence arteritis, whether diagnosed clinically alone or confined cases, varies geographically. disease is almost always white people, higher Scandinavia northern Europe (between 17 18 cases per 100 000 population aged over 50)1 3 4 than middle France, Spain,4 Israel.5 The more difficult determine. Salvarini studied Italy found a figure 12.7 cases/100 50.6 By contrast, studies from Sweden Denmark using definition figures 20.47 68.3/100 000.1 Giant rarely presents below age 50.8 It affects many arteries throughout body, signs which mimic other medical surgical conditions. Jones has suggested useful classification presenting arteritis9: 1. Systemic –malaise, anorexia, fever, night sweats, weight loss, depression 2. Myalgic –proximal, symmetrical muscle pain stiffness rheumatica 3. Arteritic –involvement produce: 1. Pain, swelling, erythema, tenderness affected artery 2. Partial occlusion resulting “claudication-like” symptoms 3. Total ischaemia necrosis structures supplied by …