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风湿性多肌痛(PMR)与肺部受累:被遗忘的关联

Polymyalgia Rheumatica (PMR) and Lung Involvement: The Forgotten Association.

作者信息

Hammoda Hoda Mohamed Bakri, Al Saleh Jamal, Mahmood Kathija, Darwish Ola Abdel Hamid Moustafa, Musa Mohamed Elfadil Abdelrahman, Rezzek Manal Sayed

机构信息

Rheumatology Unit, Hatta Hospital, Dubai, UAE.

Rheumatology Department, Dubai Hospital, Dubai, UAE.

出版信息

Oman Med J. 2020 Mar 8;35(2):e105. doi: 10.5001/omj.2020.23. eCollection 2020 Mar.

DOI:10.5001/omj.2020.23
PMID:32181007
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7060987/
Abstract

Polymyalgia rheumatica (PMR) is an inflammatory condition of unknown etiology, commonly occurring in the elderly and is associated with a good prognosis. Patients usually present with pain in the neck, shoulders, and hips. The onset is often abrupt and is associated with depression and flu-like symptoms. Lung involvement in patients with PMR is unusual. Here we report a rare case of a 66-year-old man who presented with clinical features of PMR and respiratory symptoms, namely exertional dyspnea and dry cough.

摘要

风湿性多肌痛(PMR)是一种病因不明的炎症性疾病,常见于老年人,预后良好。患者通常表现为颈部、肩部和髋部疼痛。起病往往突然,伴有抑郁和流感样症状。PMR患者出现肺部受累的情况并不常见。在此,我们报告一例罕见病例,一名66岁男性,表现出PMR的临床特征及呼吸道症状,即劳力性呼吸困难和干咳。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7dd/7060987/5b286a572680/OMJ-35-02-1700171-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7dd/7060987/5d5dab98fba6/OMJ-35-02-1700171-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7dd/7060987/5b286a572680/OMJ-35-02-1700171-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7dd/7060987/5d5dab98fba6/OMJ-35-02-1700171-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7dd/7060987/5b286a572680/OMJ-35-02-1700171-f2.jpg

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本文引用的文献

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Interstitial Lung Disease in patients with Polymyalgia Rheumatica: A case series.风湿性多肌痛患者的间质性肺疾病:病例系列
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Thin-section chest CT findings in polymyalgia rheumatica: a comparison between with and without rheumatoid arthritis.风湿性多肌痛的胸部薄层CT表现:合并与不合并类风湿关节炎的比较
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Rheumatology (Oxford). 2010 Jun;49(6):1158-63. doi: 10.1093/rheumatology/keq040. Epub 2010 Mar 18.
8
Are polymyalgia rheumatica and giant cell arteritis the same disease?风湿性多肌痛和巨细胞动脉炎是同一种疾病吗?
Semin Arthritis Rheum. 2004 Apr;33(5):294-301. doi: 10.1016/j.semarthrit.2003.09.008.
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Polymyalgia rheumatica and giant-cell arteritis.风湿性多肌痛和巨细胞动脉炎。
N Engl J Med. 2002 Jul 25;347(4):261-71. doi: 10.1056/NEJMra011913.
10
Pulmonary function of nonsmoking patients with giant cell arteritis and/or polymyalgia rheumatica; a controlled study.巨细胞动脉炎和/或风湿性多肌痛非吸烟患者的肺功能;一项对照研究。
Clin Rheumatol. 1988 Jun;7(2):231-6. doi: 10.1007/BF02204460.