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Polymyalgia rheumatica--an underdiagnosed disease.

T Susković1, D Vukicević-Baudoin

  • 1Department of Medicine, Sestre Milosrdnice University Hospital, Vinogradska c. 29, HR-10000 Zagreb, Croatia.

Acta Medica Croatica : Casopis Hravatske Akademije Medicinskih Znanosti
|May 31, 2001
PubMed
Summary

Polymyalgia rheumatica is often underdiagnosed, leading to delayed or missed diagnoses. Recognizing its characteristic features is crucial for accurate and timely patient care.

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Area of Science:

  • Rheumatology
  • Internal Medicine

Background:

  • Polymyalgia rheumatica (PMR) is a common rheumatic condition often underdiagnosed.
  • Characteristic features of PMR are not widely recognized, leading to diagnostic challenges.

Purpose of the Study:

  • To describe the characteristic features of polymyalgia rheumatica.
  • To highlight common misdiagnoses and their impact on patient care.

Main Methods:

  • Review of clinical experience with treated patients.
  • Comparison of clinical findings with existing literature data.

Main Results:

  • Patients with PMR are frequently misdiagnosed with conditions like cervicobrachial syndrome, lumbosacral syndrome, or seronegative rheumatoid arthritis.
  • Elevated erythrocyte sedimentation rate of unknown etiology is a common finding in misdiagnosed patients.

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Conclusions:

  • Underdiagnosis of polymyalgia rheumatica is prevalent.
  • Accurate diagnosis is often delayed or missed due to misinterpretations of symptoms and laboratory findings.