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Published on: December 10, 2013
Polymyalgia rheumatica is not seasonal in pattern and is unrelated to parvovirus b19 infection
1Department of Rheumatology, CAP Manso, Service of Rheumatology, Hospital Clinic of Barcelona, Villaroel 170, 08036 Barcelona, Spain.
Objective:
To prospectively analyze seasonal distribution in the onset of symptoms of polymyalgia rheumatica (PMR) and its relationship to parvovirus B19 infection.
Methods:
Over a 4-year period (September 1997 to September 2001), 68 patients were prospectively diagnosed with PMR in an outpatient rheumatology department, of which only 55 patients (38 women, 17 men) aged 50 to 90 years (mean 74.1 +/- 8.1) were able to specify the month of onset of symptoms. During the last year parvovirus B19 IgM serologies were determined in all new cases.
Results:
No significant seasonal variation in disease onset was observed during the 4-year period; 17 cases were observed in spring, 10 in summer, 15 in autumn, and 13 in winter (p = 0.625). Nevertheless, almost 50% of all cases of PMR were diagnosed in the months of May, February, and August. All of the evaluated patients (14 of 14) had negative parvovirus B19 IgM serologies.
Conclusion:
Onset of symptoms in PMR is unrelated to seasonal pattern. Yet almost 50% of cases occurred in the months of May, February, and August. Parvovirus B19 infection was unrelated to the onset of PMR.
Insights
Polymyalgia rheumatica (PMR) symptom onset shows no seasonal pattern, despite nearly half of cases diagnosed in May, February, and August. Parvovirus B19 infection was not linked to PMR onset.
Area of Science:
- Rheumatology
- Infectious Disease Epidemiology
Background:
- Polymyalgia rheumatica (PMR) is an inflammatory condition affecting individuals over 50.
- Potential environmental triggers for PMR, such as viral infections, are being investigated.
Purpose of the Study:
- To prospectively analyze the seasonal distribution of polymyalgia rheumatica (PMR) symptom onset.
- To investigate the potential relationship between parvovirus B19 infection and PMR onset.
Main Methods:
- Prospective diagnosis of 68 PMR patients over a 4-year period.
- Analysis of symptom onset month for 55 patients.
- Parvovirus B19 IgM serology testing in new cases during the final year.
Main Results:
- No significant seasonal variation in PMR onset was observed (p = 0.625).
- Nearly 50% of PMR cases were diagnosed in May, February, and August.
- All tested patients (14/14) had negative parvovirus B19 IgM serologies, indicating no link to infection.
Conclusions:
- Symptom onset in polymyalgia rheumatica (PMR) is not associated with seasonal patterns.
- Parvovirus B19 infection does not appear to be a trigger for PMR onset.
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