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Rheumatology Advance Access originally published online on November 3, 2006
Rheumatology 2006 45(12):1578-1580; doi:10.1093/rheumatology/kel334
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© The Author 2006. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Unilateral polymyalgia rheumatica with controlateral sympathetic dystrophy syndrome. A case of asymmetrical involvement due to pre-existing peripheral palsy

G. Bordin, F. Atzeni, L. Bettazzi, N. B. Beyene, M. Carrabba and P. Sarzi-Puttini

Division of Internal Medicine, San Gerardo University Hospital, Presidio Ospedaliero ‘Bassini’, Cinisello Balsamo, Rheumatology Unit, Luigi Sacco University Hospital Sacco, Milan, Italy

Correspondence to: G. Bordin, Viale Volta 11, 28100 Novara, Italy. E-mail: g.bordin@bassini.hsgerardo.org

The first 10% of the full text of this article appears below.

SIR, We describe the case of a man with pre-existing peripheral palsy who developed polymyalgia rheumatica (PMR); he was spared arthritis in the affected limb but experienced reflex sympathetic dystrophy syndrome (rSDS) in the paretic arm.

A 72-year-old man was admitted to our hospital because of nocturnal pain in his right shoulder and the pelvic girdle, with long-lasting morning stiffness, mild fever and weight loss. The pain in his buttocks and thighs was so severe that it limited his ability to stand and walk. His knee reflex responses . . . [Full Text of this Article]


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