局限性皮肤硬皮病病程中的多发性风湿痛:一种不寻常且极具挑战性的并存。

Q3 Medicine
European journal of case reports in internal medicine Pub Date : 2024-07-01 eCollection Date: 2024-01-01 DOI:10.12890/2024_004709
Noel Lorenzo-Villalba, Charlene Habib, Léa Docquier, Edward Nasco, Alessio Imperiale, Emmanuel Andrès, Jean Edouard Terrade
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引用次数: 0

摘要

一名有局限性皮肤硬皮病病史的 50 岁患者开始出现多关节痛(左肩、肘部和髋部),但没有僵硬感或相关的炎症综合征。由于怀疑是外周脊柱关节炎,患者开始接受口服抗炎药治疗,但部分患者有反应。随着病情的发展,髋关节出现僵硬和功能受限,发病两周后炎症综合征加重。于是决定进行 18F-FDG-PET 扫描,结果与多发性风湿性关节炎相符。患者接受了口服皮质类固醇治疗,一周后反应良好:18F-FDG-PET 在多发性风湿病的阳性诊断和鉴别诊断中发挥着重要作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Polymyalgia Rheumatica During the Course of Limited Cutaneous Scleroderma: An Unusual and Challenging Coexistence.

A 50-year-old patient with a history of limited cutaneous scleroderma began with polyarthralgia (left shoulder, elbows and hips) without stiffness or associated inflammatory syndrome. Treatment with oral anti-inflammatory drugs was started on suspicion of peripheral spondyloarthritis with partial response. This progressed with the appearance of stiffness and functional limitation of the hips as well as an increase in the inflammatory syndrome two weeks after onset. It was decided to perform an 18F-FDG-PET scan compatible with polymyalgia rheumatica. The patient was treated with oral corticosteroids with an excellent response after one week of treatment.

Learning points: Polymyalgia rheumatica should be considered, even in young adults, with atypical clinical presentation.Post-infectious and paraneoplastic inflammatory rheumatism should be ruled out before considering the diagnosis of polymyalgia rheumatica.18F-FDG-PET plays an important role in the positive diagnosis of PMR and in the differential diagnosis.

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来源期刊
CiteScore
2.10
自引率
0.00%
发文量
166
审稿时长
8 weeks
期刊介绍: The European Journal of Case Reports in Internal Medicine is an official journal of the European Federation of Internal Medicine (EFIM), representing 35 national societies from 33 European countries. The Journal''s mission is to promote the best medical practice and innovation in the field of acute and general medicine. It also provides a forum for internal medicine doctors where they can share new approaches with the aim of improving diagnostic and clinical skills in this field. EJCRIM welcomes high-quality case reports describing unusual or complex cases that an internist may encounter in everyday practice. The cases should either demonstrate the appropriateness of a diagnostic/therapeutic approach, describe a new procedure or maneuver, or show unusual manifestations of a disease or unexpected reactions. The Journal only accepts and publishes those case reports whose learning points provide new insight and/or contribute to advancing medical knowledge both in terms of diagnostics and therapeutic approaches. Case reports of medical errors, therefore, are also welcome as long as they provide innovative measures on how to prevent them in the current practice (Instructive Errors). The Journal may also consider brief and reasoned reports on issues relevant to the practice of Internal Medicine, as well as Abstracts submitted to the scientific meetings of acknowledged medical societies.
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