Polymyalgia Rheumatica (PMR) and Lung Involvement: The Forgotten Association

Area of Science:

• Rheumatology
• Pulmonology
• Internal Medicine

Background:

• Polymyalgia rheumatica (PMR) is a common inflammatory disorder in older adults, characterized by muscle pain and stiffness.
• PMR is typically associated with elevated inflammatory markers and responds well to corticosteroid treatment.
• While generally having a good prognosis, PMR can occasionally present with atypical symptoms.

Observation:

• A 66-year-old male presented with symptoms suggestive of polymyalgia rheumatica, including neck, shoulder, and hip pain.
• The patient also exhibited significant respiratory complaints, specifically exertional dyspnea and a persistent dry cough.
• These respiratory symptoms are considered unusual in the context of a typical polymyalgia rheumatica presentation.

Findings:

• The case highlights a rare association between polymyalgia rheumatica and pulmonary involvement.
• The patient's presentation underscores the importance of considering atypical symptoms in diagnosing PMR.
• This case expands the spectrum of known clinical manifestations of polymyalgia rheumatica.

Implications:

• This case suggests that respiratory symptoms should be considered in the differential diagnosis of patients with polymyalgia rheumatica.
• Further research may be warranted to explore the potential link between PMR and lung involvement.
• Recognizing rare presentations can improve diagnostic accuracy and patient management in rheumatological conditions.