Clinical Rheumatology

, Volume 16, Issue 6, pp 614–616

Spondyloarthropathy presenting as a polymyalgia rheumatica-like syndrome

  • A. Ponce
  • R. Sanmarti
  • C. Orellana
  • J. Muñoz-Gomez
Case Report

DOI: 10.1007/BF02247803

Cite this article as:
Ponce, A., Sanmarti, R., Orellana, C. et al. Clin Rheumatol (1997) 16: 614. doi:10.1007/BF02247803

Summary

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.

Key words

Late-onset SpondyloarthropathyPolymyalgia RheumaticaArthritisElderly

Copyright information

© Clinical Rheumatology 1997

Authors and Affiliations

  • A. Ponce
    • 1
  • R. Sanmarti
    • 1
  • C. Orellana
    • 1
  • J. Muñoz-Gomez
    • 1
  1. 1.Department of RheumatologyHospital Clinic i ProvincialBarcelonaSPAIN