Polymyalgia rheumatica echocardiography and ultrasound: Difference between revisions

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==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
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* 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 patients' 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>


==References==
==References==

Revision as of 23:15, 1 June 2014

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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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.[1]

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]
  • 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. ↑ 1.0 1.1 1.2 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.
  2. ↑ 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)
  3. ↑ 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)

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