Polymyalgia rheumatica echocardiography and ultrasound: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{CMG}} | {{CMG}} {{AE}} {{Rim}}, {{AEL}} | ||
{{Polymyalgia rheumatica}} | {{Polymyalgia rheumatica}} | ||
==Overview== | ==Overview== | ||
Ultrasound exam is important for the diagnosis of polymyalgia rheumatica (PMR). It can reveal evidence of [[bursitis]], [[synovitis]] or [[tenosynovitis]] in the affected areas. | There are no echocardiography findings associated with polymyalgia rheumatica. [[Ultrasound]] exam is important for the diagnosis of polymyalgia rheumatica (PMR). It can reveal evidence of [[bursitis]], [[synovitis]] or [[tenosynovitis]] in the affected areas. | ||
==Echocardiography == | |||
There are no echocardiography findings associated with polymyalgia rheumatica. | |||
==Ultrasound== | ==Ultrasound== | ||
* Ultrasound of the affected joint might reveal one or more of the following:<ref name="pmid22388996">{{cite journal| author=Dasgupta B, Cimmino MA, Maradit-Kremers H, Schmidt WA, Schirmer M, Salvarani C et al.| title=2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative. | journal=Ann Rheum Dis | year= 2012 | volume= 71 | issue= 4 | pages= 484-92 | pmid=22388996 | doi=10.1136/annrheumdis-2011-200329 | pmc=PMC3298664 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22388996 }} </ref> | * [[Ultrasound]] of the affected [[joint]] might reveal one or more of the following:<ref name="pmid22388996">{{cite journal| author=Dasgupta B, Cimmino MA, Maradit-Kremers H, Schmidt WA, Schirmer M, Salvarani C et al.| title=2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative. | journal=Ann Rheum Dis | year= 2012 | volume= 71 | issue= 4 | pages= 484-92 | pmid=22388996 | doi=10.1136/annrheumdis-2011-200329 | pmc=PMC3298664 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22388996 }} </ref> | ||
** Subdeltoid bursitis | ** Subdeltoid [[bursitis]] | ||
** Biceps tenosynovitis | ** Biceps [[tenosynovitis]] | ||
** Glenohumeral synovitis (either posterior or axillary) | ** Glenohumeral [[synovitis]] (either posterior or axillary) | ||
** Synovitis and/or trochanteric bursitis | ** [[Synovitis]] and/or [[trochanteric bursitis]] | ||
* Findings on ultrasound are part of the PMR diagnostic criteria scoring established by the European League Against Rheumatism and the American College of Rheumatology.<ref name="pmid22388996">{{cite journal| author=Dasgupta B, Cimmino MA, Maradit-Kremers H, Schmidt WA, Schirmer M, Salvarani C et al.| title=2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative. | journal=Ann Rheum Dis | year= 2012 | volume= 71 | issue= 4 | pages= 484-92 | pmid=22388996 | doi=10.1136/annrheumdis-2011-200329 | pmc=PMC3298664 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22388996 }} </ref> | * Findings on ultrasound are part of the PMR diagnostic criteria scoring established by the European League Against Rheumatism and the American College of Rheumatology.<ref name="pmid22388996">{{cite journal| author=Dasgupta B, Cimmino MA, Maradit-Kremers H, Schmidt WA, Schirmer M, Salvarani C et al.| title=2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative. | journal=Ann Rheum Dis | year= 2012 | volume= 71 | issue= 4 | pages= 484-92 | pmid=22388996 | doi=10.1136/annrheumdis-2011-200329 | pmc=PMC3298664 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22388996 }} </ref> | ||
*[[Ultrasound]] can be useful in monitoring the | *[[Ultrasound]] can be useful in monitoring of the patient's' response to the [[corticosteroid]] treatment and detecting any subclinical [[inflammation]].<ref name="pmid19773289">{{cite journal |author=Jiménez-Palop M, Naredo E, Humbrado L, ''et al.'' |title=Ultrasonographic monitoring of response to therapy in polymyalgia rheumatica |journal=Ann. Rheum. Dis. |volume=69 |issue=5 |pages=879–82 |year=2010 |month=May |pmid=19773289 |doi=10.1136/ard.2009.113555 |url=}}</ref> | ||
* A study revealed that [[ultrasound] can potentially help identifying patients with high [[inflammation]] who are at elevated risk of relapses or recurrences.<ref name="pmid19808693">{{cite journal |author=Macchioni P, Catanoso MG, Pipitone N, Boiardi L, Salvarani C |title=Longitudinal examination with shoulder ultrasound of patients with polymyalgia rheumatica |journal=Rheumatology (Oxford) |volume=48 |issue=12 |pages=1566–9 |year=2009 |month=December |pmid=19808693 |doi=10.1093/rheumatology/kep286 |url=}}</ref> | * A study revealed that [[ultrasound]] can potentially help identifying patients with high [[inflammation]] who are at elevated risk of relapses or recurrences.<ref name="pmid19808693">{{cite journal |author=Macchioni P, Catanoso MG, Pipitone N, Boiardi L, Salvarani C |title=Longitudinal examination with shoulder ultrasound of patients with polymyalgia rheumatica |journal=Rheumatology (Oxford) |volume=48 |issue=12 |pages=1566–9 |year=2009 |month=December |pmid=19808693 |doi=10.1093/rheumatology/kep286 |url=}}</ref> | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Medicine]] | |||
[[Category: | |||
[[Category:Rheumatology]] | [[Category:Rheumatology]] | ||
[[Category:Up-To-Date]] | |||
[[Category:Radiology]] | |||
Latest revision as of 23:47, 29 July 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2], Ahmed Elsaiey, MBBCH [3]
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Overview
There are no echocardiography findings associated with polymyalgia rheumatica. Ultrasound exam is important for the diagnosis of polymyalgia rheumatica (PMR). It can reveal evidence of bursitis, synovitis or tenosynovitis in the affected areas.
Echocardiography
There are no echocardiography findings associated with polymyalgia rheumatica.
Ultrasound
- Ultrasound of the affected joint might reveal one or more of the following:[1]
- Subdeltoid bursitis
- Biceps tenosynovitis
- Glenohumeral synovitis (either posterior or axillary)
- Synovitis and/or trochanteric bursitis
- Findings on ultrasound are part of the PMR diagnostic criteria scoring established by the European League Against Rheumatism and the American College of Rheumatology.[1]
- Ultrasound can be useful in monitoring of the patient's' response to the corticosteroid treatment and detecting any subclinical inflammation.[2]
- A study revealed that ultrasound can potentially help identifying patients with high inflammation who are at elevated risk of relapses or recurrences.[3]
References
- ↑ 1.0 1.1 Dasgupta B, Cimmino MA, Maradit-Kremers H, Schmidt WA, Schirmer M, Salvarani C; et al. (2012). "2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative". Ann Rheum Dis. 71 (4): 484–92. doi:10.1136/annrheumdis-2011-200329. PMC 3298664. PMID 22388996.
- ↑ Jiménez-Palop M, Naredo E, Humbrado L; et al. (2010). "Ultrasonographic monitoring of response to therapy in polymyalgia rheumatica". Ann. Rheum. Dis. 69 (5): 879–82. doi:10.1136/ard.2009.113555. PMID 19773289. Unknown parameter
|month=ignored (help) - ↑ Macchioni P, Catanoso MG, Pipitone N, Boiardi L, Salvarani C (2009). "Longitudinal examination with shoulder ultrasound of patients with polymyalgia rheumatica". Rheumatology (Oxford). 48 (12): 1566–9. doi:10.1093/rheumatology/kep286. PMID 19808693. Unknown parameter
|month=ignored (help)