Haruna Kotaro, Shirota Shogo, Nishioka Hiroaki
General Internal Medicine, Kobe City Medical Center General Hospital, Hyogo, JPN.
Cureus. 2023 Feb 7;15(2):e34714. doi: 10.7759/cureus.34714. eCollection 2023 Feb.
This case highlights a 77-year-old woman with polymyalgia rheumatica (PMR) following coronavirus disease 2019 (COVID-19) vaccination without shoulder pain and its characteristic positron emission tomography-computed tomography (PET-CT) findings. Some cases of PMR following COVID-19 vaccination have been reported. However, patients without shoulder pain or PET-CT findings without uptake at the shoulders are not described. Our case suggests that PMR should be considered in the differential diagnosis of patients with neck pain following COVID-19 vaccination, even if they lack shoulder pain.
本病例突出显示了一名77岁女性，在接种2019冠状病毒病（COVID-19）疫苗后出现风湿性多肌痛（PMR），但无肩部疼痛及其特征性正电子发射断层扫描-计算机断层扫描（PET-CT）表现。已有一些COVID-19疫苗接种后发生PMR的病例报告。然而，未描述无肩部疼痛或PET-CT检查肩部无摄取表现的患者情况。我们的病例提示，即使COVID-19疫苗接种后出现颈部疼痛的患者没有肩部疼痛，在鉴别诊断时也应考虑PMR。
