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Conditions mimicking polymyalgia rheumatica
Enfermedades que simulan polimialgia reumática
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"apellidos" => "Pilar Boncompte Vilanova" ] 3 => array:2 [ "nombre" => "Juli" "apellidos" => "Muñoz López" ] 4 => array:2 [ "nombre" => "Carme" "apellidos" => "Contreras García" ] 5 => array:2 [ "nombre" => "Montserrat" "apellidos" => "Romera Baurés" ] 6 => array:1 [ "colaborador" => "on behalf of the densitometry referral study group" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574311700351?idApp=UINPBA00004M" "url" => "/21735743/0000000700000003/v1_201305061622/S2173574311700351/v1_201305061622/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S2173574311700338" "issn" => "21735743" "doi" => "10.1016/S2173-5743(11)70033-8" "estado" => "S300" "fechaPublicacion" => "2011-05-01" "aid" => "70033" "copyright" => "Sociedad Española de Reumatología and Colegio Mexicano de Reumatología" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "edi" "cita" => "Reumatol Clin. 2011;7:154-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1656 "formatos" => array:3 [ "EPUB" => 45 "HTML" => 1079 "PDF" => 532 ] ] "en" => array:9 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>" "titulo" => "Direct measurement of bone mechanical strength" "tienePdf" => "en" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "154" "paginaFinal" => "155" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "La medición directa de la resistencia mecánica ósea" ] ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Roberto C. Güerri Fernández, Aclolfo Díez Pérez" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Roberto C." "apellidos" => "Güerri Fernández" ] 1 => array:2 [ "nombre" => "Aclolfo Díez" "apellidos" => "Pérez" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574311700338?idApp=UINPBA00004M" "url" => "/21735743/0000000700000003/v1_201305061622/S2173574311700338/v1_201305061622/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>" "titulo" => "Conditions mimicking polymyalgia rheumatica" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "156" "paginaFinal" => "160" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Federico Ceccato, Claudia Uña, Mónica Regidor, Oscar Rillo, Silvia Babini, Sergio Paira" "autores" => array:6 [ 0 => array:3 [ "nombre" => "Federico" "apellidos" => "Ceccato" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Claudia" "apellidos" => "Uña" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Mónica" "apellidos" => "Regidor" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "Oscar" "apellidos" => "Rillo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "Silvia" "apellidos" => "Babini" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 5 => array:4 [ "nombre" => "Sergio" "apellidos" => "Paira" "email" => array:1 [ 0 => "pairasergio@fibertel.com.ar" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Sección de Reumatología, Hospital J.M. Cullen, Santa Fe, Argentina" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Sección de Reumatología Hospital E. Tornú, Autonomous City of Buenos Aires, Buenos Aires, Argentina" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Sección de Reumatología, Hospital Privado de la Comunidad, Mar del Plata, Buenos Aires, Argentina" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Enfermedades que simulan polimialgia reumática" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-07-14" "fechaAceptado" => "2010-08-22" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec112724" "palabras" => array:1 [ 0 => "Polymyalgia rheumatic Neoplasms Rheumatic syndrome" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec112725" "palabras" => array:1 [ 0 => "Polimialgia reumática Neoplasias Síndromes reumáticos" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To examine the main clinical and laboratory data of patients initially diagnosed with polymyalgia rheumatica (PMR), which then developed another conditions.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We reviewed the clinical records of patients diagnosed with PMR in three hospitals in Argentina. Patients had a diagnosis of PMR if they met the following criteria: age<span class="elsevierStyleHsp" style=""></span>≥<span class="elsevierStyleHsp" style=""></span>50 years, erythrocyte sedimentation rate (ESR) at the time of diagnosis<span class="elsevierStyleHsp" style=""></span>><span class="elsevierStyleHsp" style=""></span>40 mm, persistent pain and stiffness of at least one month of evolution in two of the following areas: neck, shoulders or proximal arms, hips or proximal lower limbs. Special attention was paid to symptoms or signs of “alarm (beginning or during disease progression) for suspecting the presence of other non PMR disease within a period of<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>12 months.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Sixteen of the 200 patients (8%) had other diseases during follow up. Malignancies (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>4) and rheumatic diseases (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>4) were the most common entities, in addition to infective endocarditis (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1), narrow cervical canal (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1), Parkinson's disease (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1), statin-related myalgia (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1), hypothyroidism (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1), vitamin D deficiency (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1) and Calcium Pyrophosphate Deposition Disease (CPPD) (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>2). The average length change of diagnosis was 4.5<span class="elsevierStyleHsp" style=""></span>±3<span class="elsevierStyleHsp" style=""></span>months. Ten patients had no response to steroids and two had persistently elevated ESR.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">In this study we highlight the importance of recognizing signs and symptoms along with laboratory data and lack of response to treatment as suspects for the diagnosis of other disease manifestations in patients with PMR symptoms.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Observar las características clínicas y de laboratorio de pacientes con diagnóstico inicial de polimialgia reumática (PMR), que luego desarrollaron otra enfermedad.</p> <span class="elsevierStyleSectionTitle">Material y método</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Se revisaron las historias clínicas de pacientes con diagnóstico de PMR de 3 hospitales de Argentina. Los pacientes tenían diagnóstico de PMR si cumplían con los siguientes criterios: edad > 50 años, velocidad de sedimentación globular (VSG)<span class="elsevierStyleHsp" style=""></span>><span class="elsevierStyleHsp" style=""></span>40<span class="elsevierStyleHsp" style=""></span>mm/h, dolor y rigidez persistente de al menos 1 mes de evolución en dos de las siguientes áreas: cuello o torso, hombros o región proximal de los brazos, caderas o región proximal de los miembros inferiores. Se prestó especial atención a los síntomas o signos de «alarma» que hicieran sospechar la presencia de otra enfermedad no PMR en un período<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>12 meses.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Se incluyó a 200 pacientes, de los cuales 16 (8%) presentaron otra enfermedad durante el seguimiento. Las enfermedades diagnosticadas fueron neoplasias (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>4) y enfermedades reumáticas (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>4), además de endocarditis infecciosa (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1), canal estrecho cervical (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1), enfermedad de Parkinson (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1), mialgias relacionada con estatinas (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1), hipotiroidismo (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1), hipovitaminosis D (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1) y artropatía por depósito de cristales de pirofosfato cálcico dihidratado (PFCD) (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>2). El tiempo medio<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>desviación estándar al cambio de diagnóstico fue 4,5<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>3 meses. Diez pacientes no tuvieron respuesta a esteroides y 2 sujetos presentaron VSG persistentemente elevada.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">En este trabajo resaltamos la importancia de reconocer signos y síntomas clínicos, junto con datos de laboratorio y falta de respuesta al tratamiento como sospecha para diagnóstico de otra enfermedad en pacientes con manifestaciones que simulan PMR.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:29 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
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| 2024 November | 20 | 18 | 38 |
| 2024 October | 95 | 52 | 147 |
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| 2024 August | 138 | 55 | 193 |
| 2024 July | 225 | 45 | 270 |
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| 2023 November | 382 | 38 | 420 |
| 2023 October | 377 | 47 | 424 |
| 2023 September | 230 | 39 | 269 |
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| 2023 May | 101 | 23 | 124 |
| 2023 April | 131 | 20 | 151 |
| 2023 March | 222 | 42 | 264 |
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| 2021 July | 249 | 85 | 334 |
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| 2021 May | 294 | 137 | 431 |
| 2021 April | 705 | 188 | 893 |
| 2021 March | 398 | 47 | 445 |
| 2021 February | 292 | 43 | 335 |
| 2021 January | 269 | 47 | 316 |
| 2020 December | 178 | 25 | 203 |
| 2020 November | 173 | 35 | 208 |
| 2020 October | 109 | 29 | 138 |
| 2020 September | 119 | 26 | 145 |
| 2020 August | 88 | 36 | 124 |
| 2020 July | 84 | 24 | 108 |
| 2020 June | 100 | 24 | 124 |
| 2020 May | 86 | 15 | 101 |
| 2020 April | 50 | 21 | 71 |
| 2020 March | 28 | 13 | 41 |
| 2020 February | 2 | 0 | 2 |
| 2020 January | 4 | 0 | 4 |
| 2019 September | 6 | 0 | 6 |
| 2019 June | 3 | 0 | 3 |
| 2019 March | 2 | 0 | 2 |
| 2019 January | 1 | 0 | 1 |
| 2018 December | 2 | 0 | 2 |
| 2018 May | 7 | 1 | 8 |
| 2018 April | 40 | 14 | 54 |
| 2018 March | 30 | 14 | 44 |
| 2018 February | 25 | 6 | 31 |
| 2018 January | 22 | 21 | 43 |
| 2017 December | 19 | 35 | 54 |
| 2017 November | 25 | 73 | 98 |
| 2017 October | 14 | 109 | 123 |
| 2017 September | 19 | 98 | 117 |
| 2017 August | 8 | 127 | 135 |
| 2017 July | 19 | 106 | 125 |
| 2017 June | 30 | 134 | 164 |
| 2017 May | 29 | 102 | 131 |
| 2017 April | 26 | 136 | 162 |
| 2017 March | 16 | 136 | 152 |
| 2017 February | 12 | 125 | 137 |
| 2017 January | 18 | 53 | 71 |
| 2016 December | 78 | 57 | 135 |
| 2016 November | 45 | 57 | 102 |
| 2016 October | 62 | 161 | 223 |
| 2016 September | 75 | 281 | 356 |
| 2016 August | 89 | 69 | 158 |
| 2016 July | 42 | 55 | 97 |
| 2016 June | 0 | 60 | 60 |
| 2016 May | 0 | 48 | 48 |
| 2016 April | 2 | 0 | 2 |
| 2016 March | 3 | 49 | 52 |
| 2016 February | 3 | 0 | 3 |
| 2015 December | 5 | 0 | 5 |
| 2015 November | 1 | 28 | 29 |
| 2015 October | 0 | 39 | 39 |
| 2015 September | 2 | 0 | 2 |
| 2015 August | 2 | 13 | 15 |
| 2015 July | 15 | 6 | 21 |
| 2015 June | 23 | 260 | 283 |
| 2015 May | 32 | 294 | 326 |
| 2015 April | 26 | 295 | 321 |
| 2015 March | 22 | 271 | 293 |
| 2015 February | 28 | 267 | 295 |
| 2015 January | 39 | 224 | 263 |
| 2014 December | 32 | 210 | 242 |
| 2014 November | 23 | 196 | 219 |
| 2014 October | 27 | 193 | 220 |
| 2014 September | 16 | 210 | 226 |
| 2014 August | 25 | 196 | 221 |
| 2014 July | 28 | 197 | 225 |
| 2014 June | 51 | 184 | 235 |
| 2014 May | 46 | 168 | 214 |
| 2014 April | 37 | 122 | 159 |
| 2014 March | 37 | 146 | 183 |
| 2014 February | 43 | 105 | 148 |
| 2014 January | 36 | 123 | 159 |
| 2013 December | 39 | 84 | 123 |
| 2013 November | 29 | 110 | 139 |
| 2013 October | 38 | 103 | 141 |
| 2013 September | 40 | 111 | 151 |
| 2013 August | 31 | 119 | 150 |
| 2013 July | 37 | 87 | 124 |
| 2013 June | 27 | 58 | 85 |
| 2013 May | 31 | 70 | 101 |
| 2013 April | 28 | 43 | 71 |
| 2013 March | 35 | 46 | 81 |
| 2013 February | 30 | 33 | 63 |
| 2013 January | 25 | 40 | 65 |
| 2012 December | 20 | 27 | 47 |
| 2012 November | 14 | 31 | 45 |
| 2012 October | 10 | 24 | 34 |
| 2012 September | 6 | 4 | 10 |
| 2012 July | 1 | 0 | 1 |
| 2012 June | 2 | 0 | 2 |
| 2012 May | 4 | 0 | 4 |
| 2012 April | 8 | 0 | 8 |
| 2012 March | 3 | 0 | 3 |
| 2012 February | 2 | 0 | 2 |
| 2012 January | 3 | 0 | 3 |
| 2011 December | 4 | 0 | 4 |
| 2011 November | 5 | 0 | 5 |
| 2011 October | 1 | 0 | 1 |
| 2011 September | 3 | 0 | 3 |
| 2011 August | 3 | 0 | 3 |
| 2011 July | 5 | 0 | 5 |
| 2011 June | 15 | 0 | 15 |
| 2011 May | 3 | 0 | 3 |
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