Whittaker P E, Fitzsimons M G
Family Practice Residency Clinic, Tacoma, Washington, USA.
J Fam Pract. 1998 Jul;47(1):68-71.
Most physicians regard polymyalgia rheumatica (PMR) as a disease that affects only the elderly. This case report of a 24-year-old man with proximal limb girdle muscle pain, stiffness, tenderness, weakness, and an elevated erythrocyte sedimentation rate, who had a dramatic response to steroids, supports the premise that PMR may affect a wider range of our population. Increased physician awareness that this illness does occur in patients younger than 50 may prevent delays in diagnosis, and decrease the needless suffering and incapacitation of younger patients with this disorder.
大多数医生认为风湿性多肌痛（PMR）是一种仅影响老年人的疾病。本病例报告了一名24岁男性，患有近端肢体带肌疼痛、僵硬、压痛、无力，红细胞沉降率升高，对类固醇有显著反应，支持了PMR可能影响更广泛人群的前提。医生提高对这种疾病确实会发生在50岁以下患者中的认识，可能会避免诊断延误，并减少年轻患者患这种疾病时不必要的痛苦和失能。
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