Clinical picture of polymialgia rheumatica in Habarovsk region’s residents
https://doi.org/10.14412/1995-4484-2007-35-40
Abstract
Objective. To study clinical picture and significance of diagnostic criteria of polymyalgia rheumatica (PMR) in pts of Habarovsk region.
Material and methods. 76 pts (63 female, 13 male) fulfilled modified PMR diagnostic criteria (h. Bird 1997, 2001) were included. Mean age of the patients at the diagnosis was 66,2±1,0 years. Frequency and intensity of myalgia and joint syndrome, laboratory changes, and efficacy of corticosteroid (CS) low doses were evaluated.
Results. Annually 4-9 new cases of PRM were revealed in Habarovsk region. Mean duration of the disease before the diagnosis was 7,5±1,0 months. 69 pts (86,3%) had typical disease onset with cervical, shoulder, pelvic muscles involvement. In 11 pts (13,7%) joint syndrome was the presenting feature and in 3 pts the disease onset resembled McCarty disease. Knee and wrist joints were involved most frequently (43,8% and 25,0% respectively). Giant cell arteritis (Horton disease) developed in 5,3% of cases. ESR exceeded 30 mm/hour in 68 pts (89,5%). In 8 pts (10,5%) ESR remained in normal limits. CS test in 3 pts (3,9%) provided positive result after the first several hours, in 6 pts (7,9%) – during the first day, in 59 pts (77,7%) – after 3 days and in 8 pts (10,5%) – to the end of the week.
Conclusion. PMR course in the Far East residents did not differ from classical picture. CS low doses administration is an important test for PMR diagnosis.
About the Authors
T. Y. Kocherova,
Краевая клиническая больница № 1
Институт повышения квалификации специалистов здравоохранения, г. Хабаровск
Russian Federation
Russian Federation
E. N. Otteva
Краевая клиническая больница № 1
Институт повышения квалификации специалистов здравоохранения, г. Хабаровск
Russian Federation
Russian Federation
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Review
For citations:
Kocherova, T.Y., Otteva E.N. Clinical picture of polymialgia rheumatica in Habarovsk region’s residents. Rheumatology Science and Practice. 2007;45(4):35-40. (In Russ.) https://doi.org/10.14412/1995-4484-2007-35-40
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