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Polymyalgica rheumatica and giant cell arteritis

Part of: Bespoke shallow archive Weizmann

Published online by Cambridge University Press:  01 May 2008

H A Bird  and
Helen Mac Iver
H A Bird*
Affiliation:
University of Leeds, Leeds, U.K.
Helen Mac Iver
Affiliation:
Leeds Teaching Hospitals NHS Trust, Leeds, U.K.
*
Address for correspondence: Professor Howard Bird, Chapel Allerton Hospital, Chapeltown Road, Leeds, UK.
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Extract

Polymyalgia rheumatica and giant cell arteritis are closely related conditions, considered by many to represent opposite poles of a single disease spectrum. They can occur together or separately.

Polymyalgia rheumatica is characterized by pain and morning stiffness in the shoulder girdle and sometimes the pelvic girdle. The symptoms are felt to be related to synovitis of proximal joints and extra-articular synovial structures. Giant cell arteritis displays a frank vasculitis affecting the regions supplied by the temporal artery to give visual loss and scalp tenderness but is increasingly recognized to also affect the aorta and its extra-cranial branches. For this reason the term ‘giant cell arteritis’, which is descriptive of the pathology, is used instead of the alternative term ‘temporal arteritis’, which gives a misleading impression of localization but which was the term used in previous reviews for this journal, the most recent in 2003.

Type
Clinical geriatrics
Information
Reviews in Clinical Gerontology , Volume 18 , Issue 2 , May 2008 , pp. 91 - 101
Copyright
Copyright © Cambridge University Press 2009

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