POLYMYALGIA RHEUMATICA - HISTOLOGICAL AND FOLLOW-UP-STUDY OF 46 CASES
- 1 January 1977
- journal article
- research article
- Vol. 36 (9-10) , 275-284
Abstract
The nosological relationship between polymyalgia rheumatica (PMR) and cranial arteritis was studied by comparing 46 cases of PMR with 21 cases of cranial arteritis. Symptoms consistent with cranial arteritis were present in 83% of the PMR patients, but only 32% showed giant cell arteritis in the biopsy of temporal arteries. The difference is explained by the segmental involvement of the arteritis. Patients (48%) with cranial arteritis had symptoms of PMR. PMR and cranial arteritis apparently are both manifestations of the same disease. Temporary signs of generalized arteritis seem to occur often in PMR and may lead to fatal complications. PMR may last up to 10 yr. Because of the potential fatality of this disease, a temporal artery biopsy is indicated in very suspicious case to provide a sound basis for the required long term therapy with corticosteroids.This publication has 7 references indexed in Scilit:
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