#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Jump improvement of a geriatric patient with non-specific symptoms


Authors: MUDr. Barbora Čapková
Authors‘ workplace: II. interní klinika – gastroenterologická a geriatrická FN Olomouc
Published in: Geriatrie a Gerontologie 2020, 9, č. 4: 216-220
Category:

Overview

Case report deals with the case of a geriatric patient who developed polymyalgia rheumatica (PMR). The work deals with the diagnostic process and the rapid improvement of health. It is a rheumatic disease specific for geriatric age. With early diagnosis and adequate therapy, it will significantly improve the quality of life of a senior. The wide range of differential diagnosis and possible symptoms of overlapping diseases encourages multidisciplinary cooperation. PMR is associated with a higher incidence of comorbidities such as vascular, respiratory, renal and autoimmune diseases. Glucocorticoids are the drug of choice, and methotrexate is indicated in patients at high risk of relapse or corticosteroid toxicity. Recent studies have shown promising use of tocilizumab.

Keywords:

polymyalgia rheumatica – PMR – rheumatic disease – geriatrics


Sources

1. Němec P, Řehák Z. Polymyalgia rheumatica. Vnitřní lékařství. 2018, 64(2), 173–183. Dostupné také z: https://www.prolekare.cz/casopisy/vnitrni-lekarstvi/2018-2/polymyalgia-rheumatica-63272.

2. Moravcová R. Polymyalgia rheumatica – trvalý diagnostický problém nejen revmatologů. Medicína po promoci. 2019, 20(1). Dostupné také z: https://www.tribune.cz/clanek/44370-polymyalgia-rheumatica-trvaly-diagnosticky-problem-nejen-revmatologu.

3. Dasgupta B, Cimmino MA, Maradit-Kremers H, et al. 2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative. Annals of the Rheumatic Diseases. 2012, 71(4), 484–492. DOI: 10.1136/annrheumdis-2011-200329. Dostupné také z: http://ard.bmj.com/lookup/doi/10.1136/annrheumdis-2011-200329

4. Partington R, Helliwell T, Muller S, Abdul Sultan A, Mallen Ch. Comorbidities in polymyalgia rheumatica: a systematic review. Arthritis Research & Therapy. 2018, 20(1), 1–10. DOI: 10.1186/s13075-018-1757-y. Dostupné také z: https://arthritis-research.biomedcentral.com/articles/10.1186/s13075-018-1757-y. 

5. Bělobrádková M, Tomš J, Bělobrádek Z, Soukup T. Polymyalgia rheumatica a obrovskobuněčná arteritida. Praktické lékárenství: časopis postgraduálního vzdělávání pro farmaceuty. 2015, 11(5), 160–163. ISSN 1803-5329. Dostupné také z: https://www.solen.cz/pdfs/lek/2015/05/02.pdf.

6. Gazitt T, Zisman D, Gardenr G. Polymyalgia Rheumatica: a Common Disease in Seniors. Current Rheumatology Reports. 2020, 22(8), 1–13. DOI: 10.1007/s11926-020-00919-2. Dostupné také z: http://link.springer.com/10.1007/s11926-020-00919-2.

7. Partington R, Muller S, Mallen CHD, Abdul Sultan A, Helliwell T. Comorbidities in patients with polymyalgia rheumatica prior to and following diagnosis: A case control and cohort study. Seminars in Arthritis and Rheumatism. 2020, 50(4), 663-672. DOI: 10.1016/j.semarthrit.2020.05.003. Dostupné také z: https://linkinghub.elsevier.com/retrieve/pii/S0049017220301347.

8. Chuang TY. Polymyalgia Rheumatica. Annals of Internal Medicine. 1982, 97(5), 672-680. DOI: 10.7326/0003-4819-97-5-672. Dostupné také z: https://pubmed.ncbi.nlm.nih.gov/6982645/.

9. Manzo C, Incidence and Prevalence of Polymyalgia Rheumatica (PMR): The Importance of the Epidemiological Context. The Italian Case. Medical Sciences. 2019, 7(9), 1–9. DOI: 10.3390/medsci7090092. Dostupné také z: https://www.mdpi.com/2076-3271/7/9/92.

10. Aoki A, Kobayashi H, Yamaguchi Y. Predictors of long-term therapy with glucocorticoid in polymyalgia rheumatica. Modern Rheumatology 2020; 21(1–4). DOI: 10.1080/14397595.2020.1777680. Dostupné také z: https://www.tandfonline.com/doi/full/10.1080/14397595.2020.1777680.

11. Manzo C. Polymyalgia Rheumatica (PMR) with Normal Values of Both Erythrocyte Sedimentation Rate (ESR) and C-Reactive Protein (CRP) Concentration at the Time of Diagnosis in a Centenarian Man: A Case Report. Diseases 2018; 6(4), 2–6. DOI: 10.3390/diseases6040084. Dostupné také z: http://www.mdpi.com/2079-9721/6/4/84.

12. Akiyama MY, Kaneko Y, Takeuchi T. Tocilizumab in isolated polymyalgia rheumatica: A systematic literature review. Seminars in Arthritis and Rheumatism. 2020; 50(3), 521-525. DOI: 10.1016/j.semarthrit.2019.12.005. ISSN 00490172. Dostupné také z: https://www.sciencedirect.com/science/article/abs/pii/S0049017220300159

Labels
Geriatrics General practitioner for adults Orthopaedic prosthetics
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#