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[Vasomotor polyarthralgia]

M Caroit, J M Rouveix

    Revue Du Rhumatisme Et Des Maladies Osteo-Articulaires
    |July 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Middle-aged women experiencing joint pain, particularly in hands and limbs, may have underlying vasomotor disorders. Vasodilator treatment effectively relieved pain in most cases, suggesting arterioloconstriction as a common cause.

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    Area of Science:

    • Rheumatology
    • Vascular Medicine

    Background:

    • Polyarthralgia in middle-aged women can be debilitating.
    • Differential diagnosis requires excluding organic diseases.

    Observation:

    • 11 women presented with polyarthralgia, predominantly affecting hands, arms, and legs.
    • Symptoms included nocturnal pain and morning stiffness.
    • Associated vasomotor disorders like Raynaud's phenomenon, acrocyanosis, and acrorigor were noted.

    Findings:

    • Clinical, biological, and radiological evaluations revealed no organic pathology.
    • Arterioloconstriction was identified as a potential underlying mechanism for the observed vasomotor disorders.
    • Isoxsuprine, a vasodilator, resulted in pain reduction or elimination in 10 of 11 patients.

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    Implications:

    • Vasomotor disorders, specifically arterioloconstriction, should be considered in the differential diagnosis of idiopathic polyarthralgia.
    • Vasodilator therapy may offer a therapeutic option for such patients.
    • Further research into the link between arterioloconstriction and polyarthralgia is warranted.