Polymyalgia rheumatica as the manifestation of unclassified aortitis

Hiroshi Kataoka; Tatsuya Atsumi; Toko Hashimoto; Tetsuya Horita; Shinsuke Yasuda; Takao Koike

doi:10.1007/s10165-007-0019-7

Polymyalgia rheumatica as the manifestation of unclassified aortitis

Mod Rheumatol. 2008;18(1):105-8. doi: 10.1007/s10165-007-0019-7. Epub 2007 Dec 22.

Authors

Hiroshi Kataoka¹, Tatsuya Atsumi, Toko Hashimoto, Tetsuya Horita, Shinsuke Yasuda, Takao Koike

Affiliation

¹ Department of Medicine II, Hokkaido University Graduate School of Medicine, Sapporo, Japan. douglas@med.hokudai.ac.jp

PMID: 18157647
DOI: 10.1007/s10165-007-0019-7

Abstract

Polymyalgia rheumatica (PMR) frequently occurs with giant cell arteritis (GCA). We report here two cases of PMR with aortitis in the absence of diminished pulse and manifestations related to GCA. Contrasted CT, MR angiography, and F-18-deoxyglucose positron emission tomography showed aortitis without stenosis that is not classified into any of large vasculitides. It should be acknowledged that aortitis might present as PMR and imaging studies are recommended.

Publication types

Case Reports

MeSH terms

Adrenal Cortex Hormones / therapeutic use
Aortitis / complications*
Aortitis / drug therapy
Diagnosis, Differential
Female
Fluorodeoxyglucose F18
Humans
Male
Middle Aged
Polymyalgia Rheumatica / complications
Polymyalgia Rheumatica / diagnosis*
Polymyalgia Rheumatica / drug therapy
Positron-Emission Tomography*
Takayasu Arteritis / diagnostic imaging*

Substances

Adrenal Cortex Hormones
Fluorodeoxyglucose F18