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© 1985 British Society for Rheumatology

research-article

PERIPHERAL JOINT INVOLVEMENT IN POLYMYALGIA RHEUMATICA: A CLINICAL STUDY OF 56 CASES

A. S. AL-HUSSAINI and A. J. SWANNELL

Department of Rheumatology and Rehabilitation, Nottingham City Hospital and Queen's Medical Centre Nottingham

Correspondence to: Address correspondence to Dr. Al-Hussaini

A follow-up study of 56 patients with the provisional diagnosis of polymyalgia rheumatica showed that 12 developed peripheral synovitis during the course of the illness. Five of the 12 were noted to have synovitis on presentation which was characteristically mild, pauci-articular and cleared quickly after commencing prednisolone therapy.

The remaining seven had persistent synovitis of peripheral small joints despite an initial brisk response to oral prednisolone. Five of these patients were found to satisfy the ARA criteria for rheumatoid arthritis after a mean follow-up period of 3.5 years. It is suggested that the persistence of peripheral synovitis in patients treated as polymyalgia rheumatica should alert the clinician to the possible development of rheumatoid arthritis.

KEY WORDS: Polymyalgia rheumatica, Rheumatoid arthritis, Prednisolone, Peripheral synovitis


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