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A case of polymyalgia rheumatica following influenza B infection
Kentaro Iwata1, Yasushi Mizuno2
1Division of Infectious Diseases, Kobe University Hospital, Kobe, Japan.
Abstract:
Polymyalgia rheumatica (PMR) is relatively common among the elderly, and is characterized by multiple body aches with an elevated erythrocyte sedimentation rate. Even though the etiology of PMR remains unknown, a number of infectious agents have been suggested to cause PMR. Also, there are reports of PMR after influenza vaccination. The exact role of influenza vaccination on the development of PMR remains unknown, but may be associated with specific human leukocyte antigens (HLAs), such as HLA-DRB1 and HLA-DQB1. Whether postvaccination PMR is caused by influenza virus antigen or adjuvants in the vaccine is another unanswered question. We herein report a case of an 85-year-old woman who developed PMR shortly after contracting influenza virus B. Even though infections are hypothesized to be one of the causes of PMR, this is the first-ever case of PMR following influenza virus infection. Further studies may elucidate the exact role of influenza virus infection on the etiology and pathogenesis of PMR.
Insights
Polymyalgia rheumatica (PMR) is a common elderly condition. This case report details the first instance of PMR developing after influenza B virus infection, suggesting a potential link between viral infections and PMR.
Area of Science:
- Rheumatology
- Infectious Diseases
- Immunology
Background:
- Polymyalgia rheumatica (PMR) is a common inflammatory condition in the elderly, characterized by widespread aches and elevated erythrocyte sedimentation rate.
- The exact cause of PMR is unknown, but infectious agents and influenza vaccination have been implicated.
- Potential links to human leukocyte antigens (HLAs) like HLA-DRB1 and HLA-DQB1 are being investigated.
Observation:
- An 85-year-old woman developed symptoms consistent with PMR.
- The onset of PMR symptoms occurred shortly after contracting an influenza B virus infection.
- This represents the first reported case of PMR following influenza virus infection.
Findings:
- The case suggests a potential causal relationship between influenza B virus infection and the development of polymyalgia rheumatica.
- This finding supports the hypothesis that infections may play a role in the etiology of PMR.
- The specific mechanisms, whether viral antigen or other factors, require further investigation.
Implications:
- This case highlights the need to consider influenza virus infection as a potential trigger for polymyalgia rheumatica.
- Further research is warranted to elucidate the role of influenza virus infection in the pathogenesis of PMR.
- Understanding this link may inform future prevention and treatment strategies for PMR.
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