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Papers of the Week

2022 Dec 16

J Med Case Rep



Polymyalgia rheumatica presenting as sternoclavicular arthritis: a case report.


Madubashini L A D T, Lakmali J P R, Perera N
J Med Case Rep. 2022 Dec 16; 16(1):474.
PMID: 36527144.


Polymyalgia rheumatica and giant cell arteritis are systemic inflammatory conditions of the elderly. Polymyalgia rheumatica classically presents as a bilateral proximal muscle pain and stiffness syndrome. Biceps tenosynovitis is the commonest pathology in polymyalgia rheumatica. However according to literature, erosive sternoclavicular arthritis is a rare association of polymyalgia rheumatica. Giant cell arteritis is an inflammatory granulomatous arteritis predominantly involving large cerebral arteries. Thus, its classic clinical presentation includes severe headache with scalp tenderness, jaw claudication, and sudden painless loss of vision. Urological manifestations (prostatic vasculitis and epididymo-orchitis) were seldom reported in giant cell arteritis.