medigraphic.com
ISSN 1817-5996 (Electronic)

2017, Number 1

<< Back Next >>

Rev Cub de Reu 2017; 19 (1)

Rheumatic polymyalgia. A review of diagnostic criteria

Gordon ZEJ, Aucay VMC, Alcívar CF

Language: Spanish
References: 23
Page: 15-20
PDF size: 65.22 Kb.


ABSTRACT

A long period has been described between the onset of symptoms and the definitive diagnosis of PMR, which causes difficulties ranging from delayed periods of clinical observation to underdiagnosis, adding to this the phenomenon of self-medication of patients, which is related to delays in treatment and increased costs.
Objective: to review the diagnostic criteria in use as a starting point for a broader reflection on the usefulness of establishing, in addition, reliable classification criteria that allow timely approximations to the diagnosis of rheumatic polymyalgia.
Development: in the period 2015-2016, previously determining the documentary, temporal -1979-2016- and thematic coverage, a systematic search was made selecting as sources of information: Medline, PubMed, Cochrane and Mesh PubMed UptoDate. We used the terms "diagnostic criteria" and "polymyalgia rheumatica", with this search strategy between 30 and 60 documents were retrieved, and from this subset we worked only with those referring to specific diagnostic criteria of rheumatic polymyalgia. The search was limited to scientific articles, publications and manuals written in the Spanish and English languages.
Conclusions: one of the most challenging diagnostic difficulties in clinical practice is that of rheumatic polymyalgia, even up to the risk of underdiagnosis. Hence the need to make the Latin American medical community aware of the existence of several diagnostic criteria in use, which generally have common points and consist of major categories such as age, type and location of pain, rate of globular sedimentation results, and more recently imaging criteria have been added. The literature review has shown that the most widespread diagnostic criteria are those established by Bird and Wood (1979), Jones and Hazleman (1981), Chuang et al. (1982) and Healey (1984).


REFERENCES

  1. Bruce W. Senile rheumatic gout. BMJ. 1888;2:811-3.

  2. Barber HS. Myalgic syndrome with constitutional effects polymyalgia rheumatic. Ann Rheum Dis. 1957;16:230-37.

  3. Cimmino MA, Zaccaria A. Epidemiology of polymyalgia rheumatica. Clin Exp Rheumatol. 2000;18:9-11.

  4. Crowson CS, Matteson EL, Myasoedova E. The lifetime risk of adult-onset rheumatoid arthritis and other inflammatory autoimmune rheumatic diseases. Arthritis Rheum. 2011;63:633-9.

  5. Brooks Robert C, McGee Steven R. Dilemas en el diagnóstico de la polimialgia reumática. Rev Cubana Med. [Internet]. 1998 [citado 2 noviembre 2016]; 37(3):176-89. Disponible en: http://bvs.sld.cu/revistas/med/vol37_3_98/med07398.htm

  6. Gonzalez Gay MA, Garcia-Porrua C, Salvarani C, Olivieri I, Hunder GG. Polymyalgia manifestations in different conditions mimicking polymyalgia rheumatica. Clin Exp Rheumatol. 2000;18: 755-9.

  7. Iglesias Gamarra A, Medina YF, Martínez JB, Restrepo JF, Rondón F. Polimialgia reumática como presentación de mieloma múltiple y amiloidosis. Rev Colom Reumatol. 2005;12: 269-75.

  8. Pease CT, Haugeberg G, Morgan AW, Montague B, Hensor EM, Bhakta BB. Diagnosing late onset rheumatoid arthritis, polymyalgia rheumatica, and temporal arteritis in patients presenting with polymyalgic symptoms. A prospective longterm evaluation. J Rheumatol. 2005;32:1043-6.

  9. Bernal ZD, Carvallo VA. Polimialgia Reumática. Experiencia Basada en 22 Casos. Rev chil reumatol. 2009;25:156-9.

  10. Alfredo Espinosa Brito. Los criterios diagnósticos en la práctica clínica. Rev Cubana Med. [Internet]. 2009 [citado 2 noviembre 2016];48(3). Disponible en: http://www.bvs.sld.cu/revistas/med/vol48_3_09/med12309.htm

  11. Dasgupta B, Matteson EL, Maradit- Kremers H. Management guidelines and outcome measures in polymyalgia rheumatica (PMR). Clin Exp Rheumatol. 2007;25:130-6.

  12. Belmonte Serrano MA . El mito de la distinción entre criterios de clasificación y criterios diagnósticos. Reumatol Clin. [Internet]. 2015 [citado 2 noviembre 2016];11:188-9. Disponible en: http://www.reumatologiaclinica.org/es/el-mito-distincion-entre-criterios/articulo/S1699258X14002162/#bib0010

  13. Batule M. La taxonomía médica y la confusión crucial entre patología, enfermedad y sufrimiento en la medicina clínica. Bol Ateneo Juan César García. 1996;4(2):79-86.

  14. Rudwaleit M, Taylor WJ. Classification criteria for psoriatic arthritis and ankylosing spondylitis. Best Pract Res Clin Rheumatol. 2010;24:589-604.

  15. Jara Segura AB. El TDAH, Trastorno por Déficit de Atención con Hiperactividad, en las clasificaciones diagnósticas actuales (C.I.E.10, D.S.M.IV–R y C.F.T.M.E.A.–R 2000) Norte de salud mental. [Internet]. 2009 [citado 2 noviembre 2016]; 35: 30-40. Disponible en: http://www.ite.educacion.es/formacion/materiales/186/cd/m1/Art._1.3_CIE-10_y_DSM-IV.pdf

  16. Brooks RC, McGee SR. Diagnostic dilemmas in polymyalgia rheumatica. Arch Intern Med. 1997;157(2):162-8.

  17. Bird HA, Esselinckx W, Dixon AS, Mowat AG, Wood PH. An evaluation of criteria for polymyalgia rheumatica. Ann Rheum Dis. 1979;38:434-9.

  18. Jones JG, Hazleman BL. Prognosis and management of polymyalgia rheumatica. Ann Rheum Dis. 1981;40:1-5.

  19. Healey LA. Long-term follow-up of polymyalgia rheumatica: evidence for synovitis. Semin Arthritis Rheum. 1984;13:322-8.

  20. Scheiber S, Buyse M: The CRP initial response to treatment as prognotic factor in patients with polymyalgia rheumatica. Clin Rheumatol. 1995;12:315.

  21. Salvarini C, Cantini F, Boiardil, Hunder GG: Polymialgia rheumatica and giant cell arteritis. New Engl Med. 2002;347:261-71.

  22. Estrada Castrillón M, Gómez CI, Llamas Otero R, Sastoque Gómez J, Uribe González R, Valencia Escobar M. Polimialgia reumática: presentación de caso. Rev. Colomb. Radiol. [Internet]. 2016 [citado 2 noviembre 2016];27(2):4460-3. Disponible en: http://oldsite.acronline.org/LinkClick.aspx?fileticket=Ab0JRYtq_-c%3D&tabid=2521

  23. González Gay MA, García Porrua C, Salvarani I, Olivieri G, Hunder G. The spectrum of conditions mimicking polymyalgia rheumatica in Northwestern Spain. J Rheumatol. 2000;27:2179-84.




2020     |     www.medigraphic.com