老年医学与保健2017，Vol.23Issue(1)：48-50,57,4.
风湿性多肌痛34例临床特征与误诊分析
Clinical Features of Polymyalgia Rheumatic in 34 Cases and Misdiagnosis Analysis
邹峻 1陈颂春 2管剑龙1
作者信息
- 1. 复旦大学附属华东医院风湿科,上海200040
- 2. 复旦大学附属华东医院神经内科,上海200040
- 折叠
摘要
Abstract
Objective To explore the clinical features of polymyalgia rheumatic (PMR) and to analyze the misdiagnosis.Methods A retrospective analysis was made to the clinical data and therapeutic response of 34 cases with PMR hospitalized during the period from Sept.,2012 to Feb.,2016 and the misdiagnosis at the onset was analyzed.Results The average age at the onset was (67.9± 10.8) years in the 34 cases,the course of the male was shorter than that of the female (P=0.003);general myalgia was found in 29 cases,the male cases presented pain and stiffness in the waist and back;pain in knee and ankle was found in 1 1cases,pain in multi joints in 9 cases and fever in 15 cases;no case was found to be complicated with giant cell arteritis (GCA);the common complications of PMR were osteoporosis,hypertension and diabetes;misdiagnosis at first visit occurred in 16 cases,taking up 47.06 ％ of all the cases,in which,5 cases were misdiagnosed to be with osteoarthritis,4 cases to be with ankylosing spondylitis and 4 cases to be with rheumatoid arthritis;33 cases received low-dose glucocorticoid (prednisone,10 ～ 15 mg/d);31 cases received glucocorticoid alone while 3 cases received glucocorticoid combined with methotrexate or leflunomide;the therapeutic response was good.Conclusions Muscle stiffness and pain are the main symptoms of PMR in the elderly plus fever,joint pain and rapid erythrocyte sedimentation rate;low-dose glucocorticoid is effective and no complication with GCA will occur.关键词
风湿性多肌痛/巨细胞动脉炎/临床特征/小剂量激素Key words
polymyalgia rheumatic (PMR)/giant cell arteritis (GCA)/clinical features/low-dose glucocorticoid引用本文复制引用
邹峻,陈颂春,管剑龙..风湿性多肌痛34例临床特征与误诊分析[J].老年医学与保健,2017,23(1):48-50,57,4.
