Rynes R I, Mika P, Bartholomew L E
Ann Rheum Dis. 1977 Feb;36(1):88-90. doi: 10.1136/ard.36.1.88.
A 70-year-old woman presenting with typical polymyalgia rheumatica (PMR) and a normal temporal artery biopsy appeared to respond completely to low-dose prednisone therapy. A subsequent biopsy showing temporal arteritis with a normal sedimentation rate and no recurrence of myalgic symptoms emphasizes the unpredictable course of treated PMR and the need for continued clinical as well as laboratory follow-up.
一名70岁女性,表现为典型的风湿性多肌痛(PMR),颞动脉活检正常,似乎对低剂量泼尼松治疗完全有反应。随后的活检显示颞动脉炎,血沉正常,且肌痛症状未复发,这强调了PMR治疗过程的不可预测性以及持续进行临床和实验室随访的必要性。