Polymyalgia rheumatica and temporal arteritis: A retrospective study of 111 patients

ISSN:
1434-9949
Keywords:
Polymyalgia Rheumatica ; Temporal Arteritis
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary There is no unanimity as to whether polymyalgia rheumatica (PMR) and temporal arteritis (TA) are two distinct diseases or different features of one disease. The objective of this study was to assess the value of histological findings of temporal artery biopsy and the efficacy and complications of drug therapy as well as the frequency of malignancies. It was carried out as a retrospective follow-up study. One hundred eleven patients (89 PMR, 14 TA and 8 PMR+TA) were studied. In 56 patients with PMR a temporal artery biopsy was performed; in none of these biopsies was active arteritis found. Of the 19 patients with TA or PMR+TA, where a temporal artery biopsy was performed, arteritis was found in 15 patients. Reactivation occurred in 27 patients: 4 patients using NSAIDs and 23 patients using corticosteroids. Side effects of the medication included vertebral compression in 10 patients, most of whom were using corticosteroids. Malignancies were diagnosed in 12 of the 111 patients. Most malignancies were diagnosed long before or after the diagnosis of PMR. In case of a PMR diagnosed by the clinician a biopsy of the temporal artery has no value, while the yield of this diagnostic procedure is high in TA. Reactivation was seen quite often and warrants a prolonged period of medical treatment.
Type of Medium:
Electronic Resource
URL:
_version_ 1798296138428710913
autor Mertens, J. C. C.
Willemsen, G.
Saase, J. L. C. M.
Bolk, J. H.
Dijkmans, B. A. C.
autorsonst Mertens, J. C. C.
Willemsen, G.
Saase, J. L. C. M.
Bolk, J. H.
Dijkmans, B. A. C.
book_url http://dx.doi.org/10.1007/BF02207931
datenlieferant nat_lic_papers
hauptsatz hsatz_simple
identnr NLM206843275
issn 1434-9949
journal_name Clinical rheumatology
materialart 1
notes Summary There is no unanimity as to whether polymyalgia rheumatica (PMR) and temporal arteritis (TA) are two distinct diseases or different features of one disease. The objective of this study was to assess the value of histological findings of temporal artery biopsy and the efficacy and complications of drug therapy as well as the frequency of malignancies. It was carried out as a retrospective follow-up study. One hundred eleven patients (89 PMR, 14 TA and 8 PMR+TA) were studied. In 56 patients with PMR a temporal artery biopsy was performed; in none of these biopsies was active arteritis found. Of the 19 patients with TA or PMR+TA, where a temporal artery biopsy was performed, arteritis was found in 15 patients. Reactivation occurred in 27 patients: 4 patients using NSAIDs and 23 patients using corticosteroids. Side effects of the medication included vertebral compression in 10 patients, most of whom were using corticosteroids. Malignancies were diagnosed in 12 of the 111 patients. Most malignancies were diagnosed long before or after the diagnosis of PMR. In case of a PMR diagnosed by the clinician a biopsy of the temporal artery has no value, while the yield of this diagnostic procedure is high in TA. Reactivation was seen quite often and warrants a prolonged period of medical treatment.
package_name Springer
publikationsjahr_anzeige 1995
publikationsjahr_facette 1995
publikationsjahr_intervall 8004:1995-1999
publikationsjahr_sort 1995
publisher Springer
reference 14 (1995), S. 650-655
schlagwort Polymyalgia Rheumatica
Temporal Arteritis
search_space articles
shingle_author_1 Mertens, J. C. C.
Willemsen, G.
Saase, J. L. C. M.
Bolk, J. H.
Dijkmans, B. A. C.
shingle_author_2 Mertens, J. C. C.
Willemsen, G.
Saase, J. L. C. M.
Bolk, J. H.
Dijkmans, B. A. C.
shingle_author_3 Mertens, J. C. C.
Willemsen, G.
Saase, J. L. C. M.
Bolk, J. H.
Dijkmans, B. A. C.
shingle_author_4 Mertens, J. C. C.
Willemsen, G.
Saase, J. L. C. M.
Bolk, J. H.
Dijkmans, B. A. C.
shingle_catch_all_1 Mertens, J. C. C.
Willemsen, G.
Saase, J. L. C. M.
Bolk, J. H.
Dijkmans, B. A. C.
Polymyalgia rheumatica and temporal arteritis: A retrospective study of 111 patients
Polymyalgia Rheumatica
Temporal Arteritis
Polymyalgia Rheumatica
Temporal Arteritis
Summary There is no unanimity as to whether polymyalgia rheumatica (PMR) and temporal arteritis (TA) are two distinct diseases or different features of one disease. The objective of this study was to assess the value of histological findings of temporal artery biopsy and the efficacy and complications of drug therapy as well as the frequency of malignancies. It was carried out as a retrospective follow-up study. One hundred eleven patients (89 PMR, 14 TA and 8 PMR+TA) were studied. In 56 patients with PMR a temporal artery biopsy was performed; in none of these biopsies was active arteritis found. Of the 19 patients with TA or PMR+TA, where a temporal artery biopsy was performed, arteritis was found in 15 patients. Reactivation occurred in 27 patients: 4 patients using NSAIDs and 23 patients using corticosteroids. Side effects of the medication included vertebral compression in 10 patients, most of whom were using corticosteroids. Malignancies were diagnosed in 12 of the 111 patients. Most malignancies were diagnosed long before or after the diagnosis of PMR. In case of a PMR diagnosed by the clinician a biopsy of the temporal artery has no value, while the yield of this diagnostic procedure is high in TA. Reactivation was seen quite often and warrants a prolonged period of medical treatment.
1434-9949
14349949
Springer
shingle_catch_all_2 Mertens, J. C. C.
Willemsen, G.
Saase, J. L. C. M.
Bolk, J. H.
Dijkmans, B. A. C.
Polymyalgia rheumatica and temporal arteritis: A retrospective study of 111 patients
Polymyalgia Rheumatica
Temporal Arteritis
Polymyalgia Rheumatica
Temporal Arteritis
Summary There is no unanimity as to whether polymyalgia rheumatica (PMR) and temporal arteritis (TA) are two distinct diseases or different features of one disease. The objective of this study was to assess the value of histological findings of temporal artery biopsy and the efficacy and complications of drug therapy as well as the frequency of malignancies. It was carried out as a retrospective follow-up study. One hundred eleven patients (89 PMR, 14 TA and 8 PMR+TA) were studied. In 56 patients with PMR a temporal artery biopsy was performed; in none of these biopsies was active arteritis found. Of the 19 patients with TA or PMR+TA, where a temporal artery biopsy was performed, arteritis was found in 15 patients. Reactivation occurred in 27 patients: 4 patients using NSAIDs and 23 patients using corticosteroids. Side effects of the medication included vertebral compression in 10 patients, most of whom were using corticosteroids. Malignancies were diagnosed in 12 of the 111 patients. Most malignancies were diagnosed long before or after the diagnosis of PMR. In case of a PMR diagnosed by the clinician a biopsy of the temporal artery has no value, while the yield of this diagnostic procedure is high in TA. Reactivation was seen quite often and warrants a prolonged period of medical treatment.
1434-9949
14349949
Springer
shingle_catch_all_3 Mertens, J. C. C.
Willemsen, G.
Saase, J. L. C. M.
Bolk, J. H.
Dijkmans, B. A. C.
Polymyalgia rheumatica and temporal arteritis: A retrospective study of 111 patients
Polymyalgia Rheumatica
Temporal Arteritis
Polymyalgia Rheumatica
Temporal Arteritis
Summary There is no unanimity as to whether polymyalgia rheumatica (PMR) and temporal arteritis (TA) are two distinct diseases or different features of one disease. The objective of this study was to assess the value of histological findings of temporal artery biopsy and the efficacy and complications of drug therapy as well as the frequency of malignancies. It was carried out as a retrospective follow-up study. One hundred eleven patients (89 PMR, 14 TA and 8 PMR+TA) were studied. In 56 patients with PMR a temporal artery biopsy was performed; in none of these biopsies was active arteritis found. Of the 19 patients with TA or PMR+TA, where a temporal artery biopsy was performed, arteritis was found in 15 patients. Reactivation occurred in 27 patients: 4 patients using NSAIDs and 23 patients using corticosteroids. Side effects of the medication included vertebral compression in 10 patients, most of whom were using corticosteroids. Malignancies were diagnosed in 12 of the 111 patients. Most malignancies were diagnosed long before or after the diagnosis of PMR. In case of a PMR diagnosed by the clinician a biopsy of the temporal artery has no value, while the yield of this diagnostic procedure is high in TA. Reactivation was seen quite often and warrants a prolonged period of medical treatment.
1434-9949
14349949
Springer
shingle_catch_all_4 Mertens, J. C. C.
Willemsen, G.
Saase, J. L. C. M.
Bolk, J. H.
Dijkmans, B. A. C.
Polymyalgia rheumatica and temporal arteritis: A retrospective study of 111 patients
Polymyalgia Rheumatica
Temporal Arteritis
Polymyalgia Rheumatica
Temporal Arteritis
Summary There is no unanimity as to whether polymyalgia rheumatica (PMR) and temporal arteritis (TA) are two distinct diseases or different features of one disease. The objective of this study was to assess the value of histological findings of temporal artery biopsy and the efficacy and complications of drug therapy as well as the frequency of malignancies. It was carried out as a retrospective follow-up study. One hundred eleven patients (89 PMR, 14 TA and 8 PMR+TA) were studied. In 56 patients with PMR a temporal artery biopsy was performed; in none of these biopsies was active arteritis found. Of the 19 patients with TA or PMR+TA, where a temporal artery biopsy was performed, arteritis was found in 15 patients. Reactivation occurred in 27 patients: 4 patients using NSAIDs and 23 patients using corticosteroids. Side effects of the medication included vertebral compression in 10 patients, most of whom were using corticosteroids. Malignancies were diagnosed in 12 of the 111 patients. Most malignancies were diagnosed long before or after the diagnosis of PMR. In case of a PMR diagnosed by the clinician a biopsy of the temporal artery has no value, while the yield of this diagnostic procedure is high in TA. Reactivation was seen quite often and warrants a prolonged period of medical treatment.
1434-9949
14349949
Springer
shingle_title_1 Polymyalgia rheumatica and temporal arteritis: A retrospective study of 111 patients
shingle_title_2 Polymyalgia rheumatica and temporal arteritis: A retrospective study of 111 patients
shingle_title_3 Polymyalgia rheumatica and temporal arteritis: A retrospective study of 111 patients
shingle_title_4 Polymyalgia rheumatica and temporal arteritis: A retrospective study of 111 patients
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source_archive Springer Online Journal Archives 1860-2000
timestamp 2024-05-06T09:47:20.475Z
titel Polymyalgia rheumatica and temporal arteritis: A retrospective study of 111 patients
titel_suche Polymyalgia rheumatica and temporal arteritis: A retrospective study of 111 patients
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