scholarly journals Proliferative Synovitis of the Shoulder Bursae is a Key Feature for Discriminating Elderly Onset Rheumatoid Arthritis Mimicking Polymyalgia Rheumatica From Polymyalgia Rheumatica

2017 ◽  
Vol 10 ◽  
pp. 117954411774585 ◽  
Author(s):  
Takeshi Suzuki ◽  
Ryochi Yoshida ◽  
Yuka Hidaka ◽  
Yu Seri
Keyword(s):  
Rheumatoid Arthritis ◽  
Polymyalgia Rheumatica ◽  
Power Doppler ◽  
Subacromial Bursa ◽  
Gray Scale ◽  
Elderly Onset ◽  
Subcoracoid Bursa ◽  
Elderly Onset Rheumatoid Arthritis

Semiquantitative scoring for subacromial bursa (SAB), subdeltoid bursa (SDB), and subcoracoid bursa by both gray-scale (GS) and power Doppler (PD) ultrasonography was performed in 15 patients with polymyalgia rheumatica (PMR) (72.6 ± 7.7 years old) and 15 patients with elderly onset rheumatoid arthritis with PMR-like onset (pm-EORA) (70.7 ± 7.0 years old) before starting treatment. The GS grades of SAB were significantly higher in the shoulders with pm-EORA than in the shoulders with PMR. The GS and PD scores of SAB and the PD scores of SDB were significantly higher in pm-EORA than in PMR cases. The sums of GS and/or PD scores for the three bursae were significantly higher in pm-EORA than in patients with PMR. The sums of GS and PD scores for SAB were significantly higher in pm-EORA than in PMR cases. Moderate to severe proliferative synovitis of the shoulder bursae, especially in SAB, is a key feature for discriminating pm-EORA from PMR.

scholarly journals Sleep Impairment at the Time of First Diagnosis in Patients with Seronegative Elderly-Onset Rheumatoid Arthritis and in Patients with Polymyalgia Rheumatica    

2019 ◽  
Author(s):  
Ciro Manzo ◽  
Alberto Castagna
Keyword(s):  
Rheumatoid Arthritis ◽  
Differential Diagnosis ◽  
Polymyalgia Rheumatica ◽  
Rating Scale ◽  
Depression And Anxiety ◽  
Sleep Impairment ◽  
Significant Difference ◽  
Elderly Onset ◽  
Total Point ◽  
Elderly Onset Rheumatoid Arthritis

Background: Differential diagnosis between polymyalgia rheumatica (PMR) and seronegative elderly-onset rheumatoid arthritis (SEORA) is not easy, to the point that in the past they were considered the same entity. In these patients, sleep disorders have been scarcely assessed, and considered as expression of mood disorders such as depression and anxiety. Methods: In 38 Caucasian elderly patients (median age: 73.9 ± 8.06 years) consecutively referred to two outpatient clinics from January to May 2018 with diagnosis of PMR and SEORA, sleep impairment was assessed using the Medical Outcomes Study-Sleep scale (MOS-SS). Depression and anxiety were assessed using the Neuropsychiatric Inventory (NPI) score, with point 0 for absent and point 3 for severe. Comorbidities were assessed using the Cumulative Illness Rating Scale (CIRS).  Patients taking medications used to treat sleep disturbance or that could favor sleep disturbances were excluded.  The study was approved by the local ethics committee and carried out in accordance with the Helsinki Declaration, revised 2013. Every patient signed an informed consent form at the time of the first visit. Results: MOS-SS total point in PMR patients was significantly higher than in SEORA patients (47.60 ± 8.4 vs 28.26 ± 12.4; P = 0.000). After six-month therapy with prednisone (12.5–15 mg/day, followed after 4 weeks by gradual tapering), MOS-SS total point improved in the two groups of patients, with no significant difference (17.0 ± 6.2 vs 17.8 ± 4.2; P = 0.644). No correlation was found between MOS-SS and comorbidities, and between MOS-SS, anxiety or depression. Conclusions: Our data suggest that the assessment of sleep impairment could be very useful in the differential diagnosis between PMR and SEORA. Up today, the reasons why patients with PMR have—at the time of diagnosis—a sleep impairment higher than SEORA are speculative. Further ad hoc complementary studies in multicenter cohorts are needed.

Cytidine deaminase in polymyalgia rheumatica and elderly onset rheumatoid arthritis

2005 ◽  
Vol 24 (5) ◽  
pp. 460-463 ◽  
Author(s):  
Sergio Paira ◽  
Susana Roverano ◽  
Oscar Rillo ◽  
Alejandra Barrionuevo ◽  
Stella Mahieu ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Polymyalgia Rheumatica ◽  
Cytidine Deaminase ◽  
Elderly Onset ◽  
Elderly Onset Rheumatoid Arthritis

scholarly journals Elderly Onset Rheumatoid Arthritis Complicated by Polymyalgia Rheumatica.

2002 ◽  
Vol 41 (8) ◽  
pp. 657-660 ◽  
Author(s):  
Harayo IWADATE ◽  
Isao TAKEDA ◽  
Takashi KANNO ◽  
Reiji KASUKAWA
Keyword(s):  
Rheumatoid Arthritis ◽  
Polymyalgia Rheumatica ◽  
Elderly Onset ◽  
Elderly Onset Rheumatoid Arthritis

scholarly journals AB0338 ELDERLY ONSET RHEUMATOID ARTHRITIS AND POLYMYALGIA RHEUMATICA: COMPARATIVE CLINICAL STUDY

2019 ◽  
Author(s):  
Melania Martínez-Morillo ◽  
águeda Prior-Español ◽  
Anahy Brandy-Garcia ◽  
Susana Holgado Pérez ◽  
María Aparicio-Espinar ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Clinical Study ◽  
Polymyalgia Rheumatica ◽  
Comparative Clinical Study ◽  
Elderly Onset ◽  
Elderly Onset Rheumatoid Arthritis

scholarly journals FRI0057 INSULIN RESISTANCE IN ELDERLY ONSET RHEUMATOID ARTHRITIS AND POLYMYALGIA RHEUMATICA

2019 ◽  
Author(s):  
Melania Martínez-Morillo ◽  
María Luisa Granada ◽  
Águeda Prior-Español ◽  
Anahy Brandy-Garcia ◽  
Susana Holgado Pérez ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Insulin Resistance ◽  
Polymyalgia Rheumatica ◽  
Elderly Onset ◽  
Elderly Onset Rheumatoid Arthritis
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