Manganelli P, Borghi L, Coruzzi P, Novarini A, Ambanelli U
Minerva Med. 1986 Oct 6;77(38):1739-41.
Polymyalgia rheumatica (PMR) is an inflammatory disease which mainly affects the elderly and is highly responsive to steroid therapy. PMR can be associated with giant cell arteritis as well as with malignancy. Three cases of malignant neoplasms of the digestive apparatus beginning with a clinical picture similar to that of the "idiopathic" PMR, but with poor response to steroid therapy are presented. In one case the primary neoplasm was found only at the autopsy. These observations suggest that a careful clinical evaluation and a long follow-up are necessary for a correct diagnosis of "idiopathic" PMR.
风湿性多肌痛（PMR）是一种主要影响老年人的炎症性疾病，对类固醇治疗反应良好。PMR可与巨细胞动脉炎以及恶性肿瘤相关。本文介绍了3例消化系统恶性肿瘤病例，这些病例起初临床表现类似于“特发性”PMR，但对类固醇治疗反应不佳。其中1例仅在尸检时发现原发性肿瘤。这些观察结果表明，对于“特发性”PMR的正确诊断，进行仔细的临床评估和长期随访是必要的。
