Rheumatology International

, Volume 27, Issue 10, pp 927–933 | Cite as

Late onset undifferentiated spondyloarthritis presenting with polymyalgia rheumatica features: description of seven cases

  • Ignazio OlivieriEmail author
  • Carlos Garcia-Porrua
  • Angela Padula
  • Fabrizio Cantini
  • Carlo Salvarani
  • Miguel A. Gonzalez-Gay
Original Article


To underline the importance of considering a diagnosis of undifferentiated spondyloarthritis (uSpA) in patients presenting polymyalgia rheumatica (PMR) features. All patients with late onset uSpA meeting criteria for PMR at the onset of their disease seen in the Rheumatology Division of Xeral-Calde Hospital of Lugo, Spain during a 5 year period, and in the Rheumatology Department of Lucania, Italy in a two and a half year period, were studied. Six patients with late onset uSpA showing PMR symptoms at the onset were seen during the study periods in the two centres. Another patient had previously been observed in Lugo in a study dealing with the spectrum of conditions mimicking PMR. Of the seven patients, five had manifestations of SpA at the beginning of the disease and two developed these in the following 6 months. All seven met the Amor and/or the ESSG criteria for classifying and diagnosing SpA. The possibility that late onset uSpA may have PMR-like features at the beginning of the disease should be taken into account. The diagnosis is not difficult if the entire clinical spectrum of SpA is considered.


Ankylosing spondylitis HLA-B27 Polymyalgia rheumatica Spondyloarthritis Undifferentiated spondyloarthritis 



A Research Grant from the Government of Basilicata (Lucania) Region supported Dr Olivieri’s and Padula work.


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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Ignazio Olivieri
    • 1
    • 5
    Email author
  • Carlos Garcia-Porrua
    • 2
  • Angela Padula
    • 1
  • Fabrizio Cantini
    • 3
  • Carlo Salvarani
    • 4
  • Miguel A. Gonzalez-Gay
    • 2
  1. 1.Rheumatology Department of LucaniaSan Carlo Hospital of Potenza and Madonna delle Grazie Hospital of MateraPotenzaItaly
  2. 2.Rheumatology DivisionHospital Xeral-CaldeLugoSpain
  3. 3.Rheumatic Disease Unit, 2nd Division of MedicinePrato HospitalPratoItaly
  4. 4.Rheumatic Disease UnitArcispedale Santa Maria NuovaReggio EmiliaItaly
  5. 5.Rheumatology Department of LucaniaSan Carlo HospitalPotenzaItaly

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