Giant cell arteritis and polymyalgia rheumatica

G. G. Hunder, Clement Michet

Research output: Contribution to journalReview article

47 Citations (Scopus)

Abstract

Polymyalgia rheumatica is a clinical syndrome characterized by aching and morning stiffness in the proximal extremities, neck, and torso. The symptoms in polymyalgia rheumatica are due, at least in part, to a mild inflammation of the proximal joints, bursae, tenosynovial membranes and ligaments. In some instances more distal involvement may also occur which tends to be mild and relatively transient. Giant cell arteritis and polymyalgia rheumatica are closely related to each other in that they affect the same populations and frequently occur in the same patient. Approximately one half of patients with giant cell arteritis have symptoms of polymyalgia rheumatica whereas in a series of patients with polymyalgia rheumatica as the primary diagnosis, about 15 to 20% have been shown to have giant cell arteritis by temporal artery biopsy or convincing clinical symptoms. Thus, polymyalgia rheumatica is a more common condition than giant cell arteritis. The interrelationships between these two processes are schematically shown. Both conditions appear to have become more common in recent years. It is uncertain whether the increase in frequency is the result of improved recognition of these conditions or whether there has been an actual rise in their incidence.

Original languageEnglish (US)
Pages (from-to)471-483
Number of pages13
JournalClinics in Rheumatic Diseases
Volume11
Issue number3
StatePublished - Dec 1 1985

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Polymyalgia Rheumatica
Giant Cell Arteritis
Temporal Arteries
Torso
Ligaments
Neck
Extremities
Joints
Inflammation
Biopsy
Membranes
Incidence
Population

ASJC Scopus subject areas

  • Rheumatology

Cite this

Giant cell arteritis and polymyalgia rheumatica. / Hunder, G. G.; Michet, Clement.

In: Clinics in Rheumatic Diseases, Vol. 11, No. 3, 01.12.1985, p. 471-483.

Research output: Contribution to journalReview article

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