PMR analysis of 52 cases.doc

 PAGE \* MERGEFORMAT 10 PMR analysis of 52 cases Of: WANG Hai-ying, Liu Rongqing, pool Shu-hong, Wang Guochun [Abstract] Objective To investigate the clinical features of PMR, increased awareness of the PMR. Methods Retrospective analysis of 52 patients with polymyalgia rheumatica clinical data of patients. Results more common in females, male: female = 1 : 2.25, the average age (66.67 + -7.76 years). course of 1 to 24 months, the average duration (5.62 + -5. 33) months. clinical manifestations of neck and shoulder pain, pelvic girdle myalgia were the most common, followed by as joint swelling, pain, fever and anemia. All patients had erythrocyte sedimentation rate and C-reactive protein significantly increased clinical symptoms after treatment, time (12.46 + -7.87) d; inflammatory index improved, erythrocyte sedimentation rate returned to normal time was (36.59 + -20.96) d, C-reactive protein returned to normal hours (16.15 + -6.69) d. most of the patients required hormone or hormone combined immunosuppressive therapy, including prednisone alone in 15 cases, accounting for 28.8 %; and triptolide or methotrexate and prednisone in 22 cases, 42.3%; single non-steroidal anti-inflammatory drugs by 13.5%, non-steroidal anti-inflammatory drug combined with methotrexate 15.4%. Conclusion rheumatic more myalgia, muscle stiffness to the proximal limb pain as the main feature, with fibromyalgia as the main performance for the elderly, normal muscle enzymes, erythrocyte sedimentation continued in the 40 mm h-1 above, hormone treatment is effective, should be suspected rheumatic more muscle pain possible. [Keywords:] PMR; clinical characteristics PMR (polymyalgia rheumatica, PMR) is more common in older people with limb proximal muscle pain and morning stiffness-based clinical syndrome, currently no specific laboratory tests, clinician awareness of the disease is still lack of misdiagnosis and missed diagnosis. Based on the 52 patients with polymyalgia rhe