Shah, S., Rao, S., Mackie, S.L. orcid.org/0000-0003-2483-5873 et al. (1 more author) (2025) A history of polymyalgia rheumatica: a narrative review. Rheumatology, 64 (2). pp. 470-476. ISSN 1462-0324
Abstract
Polymyalgia rheumatica (PMR) is characterized by stiffness and pain in the shoulders, hips and neck and presents most commonly in the eighth decade. It can coexist with giant cell arteritis and the two diseases may share some pathophysiological mechanisms. This narrative review considers present-day ideas about PMR in a historical context, from the first names and descriptions of this disease entity, via successive generations of classification criteria sets, and finally to implications for clinical diagnosis. The characteristic distribution of musculoskeletal inflammation in PMR and its relationship to vasculitic and synovitic diseases have framed the way that PMR is described, classified, diagnosed and treated. A response to glucocorticoids is not specific to PMR and so it is important for rheumatologists to support general practitioners in making a definite diagnosis. Multi-stakeholder collaboration will improve current pathways for fast, accurate diagnosis and safe and effective treatment.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | This is an author produced version of an article published in Rheumatology, made available under the terms of the Creative Commons Attribution License (CC-BY), which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited. |
Keywords: | polymyalgia rheumatica, history of medicine, attitude of health personnel, giant cell arteritis, classification criteria |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 04 Jun 2025 09:52 |
Last Modified: | 04 Jun 2025 15:10 |
Published Version: | https://academic.oup.com/rheumatology/article/64/2... |
Status: | Published |
Publisher: | Oxford University Press (OUP) |
Identification Number: | 10.1093/rheumatology/keae569 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:227378 |
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Filename: 20240401 PMR paper with abstract_SLM_clean with comments_SLMii.pdf
Licence: CC-BY 4.0