Malone Catherine B, McCarthy Geraldine M
Department of Rheumatology, Mater Misericordiae Hospital, Eccles Street, Dublin 7, Ireland.
J Clin Rheumatol. 2005 Feb;11(1):59-60. doi: 10.1097/01.rhu.0000152195.29394.50.
We report a patient with polymyalgia rheumatica (PMR) who initially presented with chest pain pleural and pericardial effusions. A history was then obtained of shoulder girdle aching and stiffness, suggestive of PMR, and laboratory investigations supported the diagnosis. A rapid response to 15 mg prednisolone once daily was noted, with resolution of effusion and symptoms. Although pericardial effusion has previously been reported, this is the first reported case of pleuropericardial effusions in PMR. Rheumatologists should be aware that PMR may occasionally be the explanation for pleuropericardial effusion in the elderly.
我们报告了一名患有风湿性多肌痛（PMR）的患者，该患者最初表现为胸痛、胸腔积液和心包积液。随后了解到有肩胛带疼痛和僵硬的病史，提示为PMR，实验室检查支持该诊断。注意到每日一次服用15毫克泼尼松龙后反应迅速，积液和症状均消失。虽然此前已有心包积液的报道，但这是PMR中首次报道的胸膜心包积液病例。风湿病学家应意识到，PMR偶尔可能是老年人胸膜心包积液的病因。
