logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Polymyalgia rheumatica with low erythrocyte sedimentation rate at diagnosis.

    Article - En anglais

    Objective

    To determine the frequency and clinical characteristics of polymyalgia rheumatica (PMR) with low erythrocyte sedimentation rate (ESR) at diagnosis in a community based cohort of 232 patients.

    Methods

    A retrospective review of medical records of all the patients with a diagnosis of PMR in Olmsted County, Minnesota, seen and followed over a 22 year period, from 1970 through 1991.

    Results

    Seventeen (7.3%) patients had ESR<40 mm/h at diagnosis.

    The findings and outcome in these patients were compared with the others in the group.

    There was no difference in sex or age between the 2 groups.

    Both groups had the same delay to diagnosis, typical gradual onset of the disease, the same frequency of both proximal and distal stiffness/pain, and the same frequency of synovitis.

    Systemic features were less frequent in the low ESR group than in the high ESR group (59 vs 81%, p=0.05).

    Mean ESR in the low ESR group was 26 ± 9 mm/h versus 74 ± 24 mm/h in the high ESR group.

    The mean hemoglobin concentration was significantly lower (p=0.0015) in the high compared to the low ESR group (12.2 ± 1.4 g/dl versus 13.3 ± 1.3 g/dl).

    The frequency of positive temporal artery biopsy and of diagnosed giant cell arteritis was the same in the 2 groups.

    Initial response to therapy, frequency of relapses, number of patients going into remission, time to remission, and daily dose of steroids were the same in both groups. (...)

    Mots-clés Pascal : Pseudopolyarthrite rhizomélique, Diagnostic, Vitesse sédimentation, Epidémiologie, Fréquence, Symptomatologie, Pronostic, Personne âgée, Homme, Chronique, Système ostéoarticulaire pathologie, Rhumatisme inflammatoire

    Mots-clés Pascal anglais : Polymyalgia rheumatica, Diagnosis, Sedimentation rate, Epidemiology, Frequency, Symptomatology, Prognosis, Elderly, Human, Chronic, Diseases of the osteoarticular system, Inflammatory joint disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0342231

    Code Inist : 002B15D. Création : 14/12/1999.