Hubault A
Presse Med. 1983 Jan 22;12(3):157-9.
Clinically, polymyalgia rheumatica is characterized by bilateral hip and shoulder pain predominant in the shoulder girdle, with a varying degree of alteration of the general condition. The erythrocyte sedimentation rate is often markedly increased. The dramatic effect of corticosteroids in low dosage confirms the diagnosis. The main problem is the relationship between the syndrome and giant cell arteritis, or Horton's disease. The therapeutic approach is strongly influenced by the risk of complications, notably ocular involvement. Another prognostic factor is the duration of the disease, which is difficult to predict.
临床上,风湿性多肌痛的特点是双侧臀部和肩部疼痛,以肩胛带为主,全身状况有不同程度的改变。红细胞沉降率常明显升高。低剂量皮质类固醇的显著疗效证实了诊断。主要问题是该综合征与巨细胞动脉炎或霍顿病之间的关系。治疗方法受到并发症风险的强烈影响,尤其是眼部受累。另一个预后因素是疾病持续时间,这很难预测。