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Polymyalgia Rheumatica: A Challenging Diagnosis in Elderly Patients - Case Reports

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Author(s)
Il-Kyu ImDu Hwan Kim
Keimyung Author(s)
Kim, Du Hwan
Department
Dept. of Rehabilitation Medicine (재활의학)
Journal Title
Annals of Geriatric Medicine and Research
Issued Date
2017
Volume
21
Issue
2
Keyword
Polymyalgia Rheumatica, Shoulder Pain, Stroke
Abstract
Polymyalgia rheumatica (PMR) is often characterized by bilateral shoulder pain and can be accompanied by giant cell arteritis (GCA). Here we report 2 cases in which a PMR diagnosis was made. A 61-year-old man with a 1-month history of gait disturbance and bilateral shoulder pain after an infarct in the left cerebellum. Fluorodeoxyglucose positron emission tomography/computed tomography (PET/CT) suggested PMR with GCA. A 78-year-old woman presented with alternating bilateral shoulder pain. She was repeatedly misdiagnosed with septic arthritis and treated with surgery. Based on clinical manifestations and laboratory tests, we retrospectively diagnosed her with PMR. We conclude that a careful analysis of the patient’s history and a meticulous examination is necessary for the correct diagnosis of PMR in elderly patients.
Keimyung Author(s)(Kor)
김두환
Publisher
School of Medicine (의과대학)
Citation
Il-Kyu Im and Du Hwan Kim. (2017). Polymyalgia Rheumatica: A Challenging Diagnosis in Elderly Patients - Case Reports. Annals of Geriatric Medicine and Research, 21(2), 210–214. doi: 10.4235/agmr.2017.21.4.210
Type
Article
ISSN
2508-4798
DOI
10.4235/agmr.2017.21.4.210
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/41390
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학)
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