Magnetic resonance imaging findings in patients with polymyalgia rheumatica
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Radiologia Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-39842022000600346 |
Resumo: | Abstract Objective: To describe the prevalence of magnetic resonance imaging (MRI) findings in patients with the clinical diagnosis of polymyalgia rheumatica (PMR). Materials and Methods: Sixteen consecutive patients with untreated PMR, meeting the American College of Rheumatology criteria, underwent MRI examinations of the shoulder(s), hip(s), or both, depending on clinical complaints. Six patients also underwent MRI of the spine. Results: We evaluated 24 shoulders, among which we identified subacromial-subdeltoid bursitis in 21 (87.5%), glenohumeral joint effusion in 17 (70.8%), and fluid distention of the long head of the biceps tendon sheath in 15 (62.5%). Peritendinitis and capsular edema were observed in 21 (87.5%) and 17 (70.8%) shoulders, respectively. We also evaluated 17 hips, identifying hip joint effusion in 12 (70.6%), trochanteric bursitis in 11 (64.7%), peritendinitis in 17 (100%), and capsular edema in 14 (82.4%). All six of the patients who underwent MRI of the spine were found to have interspinous bursitis. Conclusion: Subacromial-subdeltoid bursitis, glenohumeral joint effusion, and hip joint effusion are common findings in patients with PMR. In addition, such patients appear to be highly susceptible to peritendinitis and capsular edema. There is a need for case-control studies to validate our data and to determine the real impact that these findings have on the diagnosis of PMR by MRI. |
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Radiologia Brasileira (Online) |
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Magnetic resonance imaging findings in patients with polymyalgia rheumaticaPolymyalgia rheumatica/diagnostic imagingShoulder joint/pathologyHip joint/pathologyMagnetic resonance imaging/methods.Abstract Objective: To describe the prevalence of magnetic resonance imaging (MRI) findings in patients with the clinical diagnosis of polymyalgia rheumatica (PMR). Materials and Methods: Sixteen consecutive patients with untreated PMR, meeting the American College of Rheumatology criteria, underwent MRI examinations of the shoulder(s), hip(s), or both, depending on clinical complaints. Six patients also underwent MRI of the spine. Results: We evaluated 24 shoulders, among which we identified subacromial-subdeltoid bursitis in 21 (87.5%), glenohumeral joint effusion in 17 (70.8%), and fluid distention of the long head of the biceps tendon sheath in 15 (62.5%). Peritendinitis and capsular edema were observed in 21 (87.5%) and 17 (70.8%) shoulders, respectively. We also evaluated 17 hips, identifying hip joint effusion in 12 (70.6%), trochanteric bursitis in 11 (64.7%), peritendinitis in 17 (100%), and capsular edema in 14 (82.4%). All six of the patients who underwent MRI of the spine were found to have interspinous bursitis. Conclusion: Subacromial-subdeltoid bursitis, glenohumeral joint effusion, and hip joint effusion are common findings in patients with PMR. In addition, such patients appear to be highly susceptible to peritendinitis and capsular edema. There is a need for case-control studies to validate our data and to determine the real impact that these findings have on the diagnosis of PMR by MRI.Publicação do Colégio Brasileiro de Radiologia e Diagnóstico por Imagem2022-11-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-39842022000600346Radiologia Brasileira v.55 n.6 2022reponame:Radiologia Brasileira (Online)instname:Colégio Brasileiro de Radiologia e Diagnóstico por Imagem (CBR)instacron:CBR10.1590/0100-3984.2021.0151info:eu-repo/semantics/openAccessLeão,Renata VidalCalich,Ana Luisa GarciaCalich,IsidioRodrigues,Marcelo BordaloHelito,Paulo Victor PartezaniAmaral,Denise TokechiPereira,Renata Fernandes BatistaCorrea,Marcos Felippe de Paulaeng2022-12-16T00:00:00Zoai:scielo:S0100-39842022000600346Revistahttps://www.scielo.br/j/rb/https://old.scielo.br/oai/scielo-oai.phpradiologiabrasileira@cbr.org.br1678-70990100-3984opendoar:2022-12-16T00:00Radiologia Brasileira (Online) - Colégio Brasileiro de Radiologia e Diagnóstico por Imagem (CBR)false |
dc.title.none.fl_str_mv |
Magnetic resonance imaging findings in patients with polymyalgia rheumatica |
title |
Magnetic resonance imaging findings in patients with polymyalgia rheumatica |
spellingShingle |
Magnetic resonance imaging findings in patients with polymyalgia rheumatica Leão,Renata Vidal Polymyalgia rheumatica/diagnostic imaging Shoulder joint/pathology Hip joint/pathology Magnetic resonance imaging/methods. |
title_short |
Magnetic resonance imaging findings in patients with polymyalgia rheumatica |
title_full |
Magnetic resonance imaging findings in patients with polymyalgia rheumatica |
title_fullStr |
Magnetic resonance imaging findings in patients with polymyalgia rheumatica |
title_full_unstemmed |
Magnetic resonance imaging findings in patients with polymyalgia rheumatica |
title_sort |
Magnetic resonance imaging findings in patients with polymyalgia rheumatica |
author |
Leão,Renata Vidal |
author_facet |
Leão,Renata Vidal Calich,Ana Luisa Garcia Calich,Isidio Rodrigues,Marcelo Bordalo Helito,Paulo Victor Partezani Amaral,Denise Tokechi Pereira,Renata Fernandes Batista Correa,Marcos Felippe de Paula |
author_role |
author |
author2 |
Calich,Ana Luisa Garcia Calich,Isidio Rodrigues,Marcelo Bordalo Helito,Paulo Victor Partezani Amaral,Denise Tokechi Pereira,Renata Fernandes Batista Correa,Marcos Felippe de Paula |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Leão,Renata Vidal Calich,Ana Luisa Garcia Calich,Isidio Rodrigues,Marcelo Bordalo Helito,Paulo Victor Partezani Amaral,Denise Tokechi Pereira,Renata Fernandes Batista Correa,Marcos Felippe de Paula |
dc.subject.por.fl_str_mv |
Polymyalgia rheumatica/diagnostic imaging Shoulder joint/pathology Hip joint/pathology Magnetic resonance imaging/methods. |
topic |
Polymyalgia rheumatica/diagnostic imaging Shoulder joint/pathology Hip joint/pathology Magnetic resonance imaging/methods. |
description |
Abstract Objective: To describe the prevalence of magnetic resonance imaging (MRI) findings in patients with the clinical diagnosis of polymyalgia rheumatica (PMR). Materials and Methods: Sixteen consecutive patients with untreated PMR, meeting the American College of Rheumatology criteria, underwent MRI examinations of the shoulder(s), hip(s), or both, depending on clinical complaints. Six patients also underwent MRI of the spine. Results: We evaluated 24 shoulders, among which we identified subacromial-subdeltoid bursitis in 21 (87.5%), glenohumeral joint effusion in 17 (70.8%), and fluid distention of the long head of the biceps tendon sheath in 15 (62.5%). Peritendinitis and capsular edema were observed in 21 (87.5%) and 17 (70.8%) shoulders, respectively. We also evaluated 17 hips, identifying hip joint effusion in 12 (70.6%), trochanteric bursitis in 11 (64.7%), peritendinitis in 17 (100%), and capsular edema in 14 (82.4%). All six of the patients who underwent MRI of the spine were found to have interspinous bursitis. Conclusion: Subacromial-subdeltoid bursitis, glenohumeral joint effusion, and hip joint effusion are common findings in patients with PMR. In addition, such patients appear to be highly susceptible to peritendinitis and capsular edema. There is a need for case-control studies to validate our data and to determine the real impact that these findings have on the diagnosis of PMR by MRI. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-11-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-39842022000600346 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-39842022000600346 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-3984.2021.0151 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Publicação do Colégio Brasileiro de Radiologia e Diagnóstico por Imagem |
publisher.none.fl_str_mv |
Publicação do Colégio Brasileiro de Radiologia e Diagnóstico por Imagem |
dc.source.none.fl_str_mv |
Radiologia Brasileira v.55 n.6 2022 reponame:Radiologia Brasileira (Online) instname:Colégio Brasileiro de Radiologia e Diagnóstico por Imagem (CBR) instacron:CBR |
instname_str |
Colégio Brasileiro de Radiologia e Diagnóstico por Imagem (CBR) |
instacron_str |
CBR |
institution |
CBR |
reponame_str |
Radiologia Brasileira (Online) |
collection |
Radiologia Brasileira (Online) |
repository.name.fl_str_mv |
Radiologia Brasileira (Online) - Colégio Brasileiro de Radiologia e Diagnóstico por Imagem (CBR) |
repository.mail.fl_str_mv |
radiologiabrasileira@cbr.org.br |
_version_ |
1754208941274824704 |