Spondyloarthropathy presenting as a polymyalgia rheumatica-like syndrome.

Two female patients, aged 57 and 58 year-old presented with pain and stiffness in shoulder and/or pelvic girdles and a high ESR, suggesting polymyalgia rheumatica (PMR). The lack of response to low dose of steroids prompted us to reconsider this diagnosis and, after a careful evaluation and taking into account past clinical history, a final diagnosis of spondyloarthropathy (SpA) was made. The clinical spectrum of late SpA is heterogeneous, and in some instances may present as a polymyalgia-like syndrome.