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

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Abstract

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.

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Acknowledgment

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

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Authors and Affiliations

  1. Rheumatology Department of Lucania, San Carlo Hospital of Potenza and Madonna delle Grazie Hospital of Matera, Potenza, Italy

    Ignazio Olivieri & Angela Padula

  2. Rheumatology Division, Hospital Xeral-Calde, c) Dr. Ochoa s/n, 27004, Lugo, Spain

    Carlos Garcia-Porrua & Miguel A. Gonzalez-Gay

  3. Rheumatic Disease Unit, 2nd Division of Medicine, Prato Hospital, Prato, Italy

    Fabrizio Cantini

  4. Rheumatic Disease Unit, Arcispedale Santa Maria Nuova, Reggio Emilia, Italy

    Carlo Salvarani

  5. Rheumatology Department of Lucania, San Carlo Hospital, Contrada Macchia Romana, 85100, Potenza, Italy

    Ignazio Olivieri

Authors
  1. Ignazio Olivieri
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  2. Carlos Garcia-Porrua
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  3. Angela Padula
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  4. Fabrizio Cantini
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  5. Carlo Salvarani
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  6. Miguel A. Gonzalez-Gay
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Correspondence to Ignazio Olivieri.

Additional information

Dr. Olivieri and Dr. Gonzalez-Gay share senior authorship in this study.

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Olivieri, I., Garcia-Porrua, C., Padula, A. et al. Late onset undifferentiated spondyloarthritis presenting with polymyalgia rheumatica features: description of seven cases. Rheumatol Int 27, 927–933 (2007). https://doi.org/10.1007/s00296-007-0331-8

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  • DOI: https://doi.org/10.1007/s00296-007-0331-8

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