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Quantitative Magnetic Resonance Imaging of Skeletal Muscle Disease
09:30

Quantitative Magnetic Resonance Imaging of Skeletal Muscle Disease

Published on: December 18, 2016

[Distal musculo-skeletal manifestations in rheumatic polymyalgia]

J Noval Menéndez1, M T Campoamor Serrano, F J Nuño Mateo

  • 1Servicio de Medicina Interna, Hospital de Cabueñes, Gijón, Asturias, Spain.

Revista Clinica Espanola
|July 26, 2002
PubMed

Insights

Distal musculoskeletal manifestations (DMM) affect 28% of patients with rheumatic polymyalgia (RPM), often appearing at diagnosis. Corticosteroid therapy proved effective for all DMM cases in this study.

Area of Science:

  • Rheumatology
  • Musculoskeletal Medicine

Context:

  • Rheumatic polymyalgia (RPM) is a common condition affecting older adults.
  • Distal musculoskeletal manifestations (DMM) in RPM are not fully characterized.

Purpose:

  • To determine the frequency and characteristics of DMM in patients diagnosed with RPM.
  • To analyze the association of DMM with RPM diagnosis and treatment outcomes.

Summary:

  • This study analyzed 136 patients with RPM, finding that 38 (28%) experienced DMM.
  • Peripheral arthritis was most common, followed by pitting edema, tenosynovitis, and carpal tunnel syndrome.
  • DMM were frequently detected at diagnosis and responded well to corticosteroid therapy.

Impact:

  • Highlights the prevalence of DMM in RPM, suggesting they are an important diagnostic and clinical feature.
  • Findings indicate DMM do not necessarily complicate RPM management, as corticosteroid therapy is effective.
  • Pitting edema in RPM patients may correlate with lower ESR and shorter treatment duration.

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