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Polymyalgia rheumatica, temporal arteritis and malignancy

C A Speed1, I Haslock

  • 1Department of Rheumatology, South Cleveland Hospital, Middlesbrough, Cleveland, UK.

Postgraduate Medical Journal
|August 1, 1995
PubMed
Summary
This summary is machine-generated.

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Steroid therapy for polymyalgia rheumatica and temporal arteritis is crucial but can hide other conditions. Early evaluation for coexisting diseases is vital in these patients, as shown by three case studies.

Area of Science:

  • Rheumatology
  • Internal Medicine

Background:

  • Polymyalgia rheumatica and temporal arteritis often require steroid treatment.
  • Corticosteroids are generally effective but can obscure concurrent medical issues.

Observation:

  • Three patient cases illustrate diagnostic challenges.
  • Steroid therapy masked underlying or coexisting disorders in these instances.

Findings:

  • Delayed diagnosis of other conditions occurred due to steroid use.
  • Steroids can present a diagnostic dilemma by suppressing symptoms of other diseases.

Implications:

  • Clinicians must maintain a high index of suspicion for other disorders in patients on steroids.
  • Prompt and thorough investigation is essential to avoid complications from missed diagnoses in polymyalgia rheumatica and temporal arteritis patients.

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