Intermittent Claudication and Polymyalgia Rheumatica

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Abstract
ARTERIAL insufficiency with intermittent claudication may occur in a number of conditions. We report a case in which intermittent claudication developed in both calves secondary to arteritis of the major arteries of the legs in a woman who had the clinical syndrome of polymyalgia rheumatica. Report of a Case Initial Findings. —A 51-year-old married white woman was seen at the Mayo Clinic for the first time on Nov 24, 1964, with complaints of stiffness and aching in her neck, shoulders, dorsal paraspinal muscles, and middle anterior chest region and also transient myalgia of the pelvic girdle muscles. The anterior chest pain was worse with deep inspiration and coughing. All symptoms were worse in the morning and were aggravated by motion; by afternoon the aching usually abated somewhat. Her symptoms had been present for one month and had begun shortly after surgical removal of a benign ovarian cyst (at another institution).

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