Polymyalgia rheumatica echocardiography and ultrasound

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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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