Polymyalgia rheumatica during the course of limited cutaneous scleroderma: an unusual and challenging coexistence
  • Noel Lorenzo-Villalba
    Service de Médecine Interne, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Charlene Habib
    Service de Médecine Interne, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Léa Docquier
    Service de Médecine Interne, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Edward Nasco
    Service de Médecine Interne, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Alessio Imperiale
    Service de Médicine Nucléaire, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Emmanuel Andrès
    Service de Médecine Interne, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Jean Edouard Terrade
    Service de Médecine Interne, Hôpitaux Universitaires de Strasbourg, Strasbourg, France

Keywords

Polymyalgia rheumatica, scleroderma

Abstract

A 50-year-old patient with a history of limited cutaneous scleroderma began with polyarthralgia (left shoulder, elbows and hips) without stiffness or associated inflammatory syndrome. Treatment with oral anti-inflammatory drugs was started on suspicion of peripheral spondyloarthritis with partial response. This progressed with the appearance of stiffness and functional limitation of the hips as well as an increase in the inflammatory syndrome two weeks after onset. It was decided to perform an 18F-FDG-PET scan compatible with polymyalgia rheumatica. The patient was treated with oral corticosteroids with an excellent response after one week of treatment.

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References

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    Published: 2024-07-01
    Issue: 2024: LATEST ONLINE (view)

    How to cite:
    1.
    Lorenzo-Villalba N, Habib C, Docquier L, Nasco E, Imperiale A, Andrès E, Terrade JE. Polymyalgia rheumatica during the course of limited cutaneous scleroderma: an unusual and challenging coexistence. EJCRIM 2024;11 doi:10.12890/2024_004709.

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