Ann Geriatr Med Res 2017; 21(4): 210-214  http://dx.doi.org/10.4235/agmr.2017.21.4.210
Polymyalgia Rheumatica: A Challenging Diagnosis in Elderly Patients - Case Reports
Il-Kyu Im, Du Hwan Kim
Department of Rehabilitation Medicine, Dongsan Medical Center, School of Medicine, Keimyung University, Daegu, Korea
Correspondence to: Du Hwan Kim, MD
Department of Rehabilitation Medicine, Dongsan Medical Center, School of Medicine, Keimyung University, 56 Dalseong-ro, Jung-gu, Daegu 41931, Korea
Tel: +82-53-250-7477
Fax:+82-53-250-7205
E-mail: ripheonix@dsmc.or.kr
Received: July 27, 2017; Revised: October 12, 2017; Accepted: October 17, 2017; Published online: December 31, 2017.
© The Korea Geriatrics Society. All rights reserved.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Polymyalgia rheumatica (PMR) is often characterized by bilateral shoulder pain and can be accompanied by giant cell arteritis (GCA). Here we report 2 cases in which a PMR diagnosis was made. A 61-year-old man with a 1-month history of gait disturbance and bilateral shoulder pain after an infarct in the left cerebellum. Fluorodeoxyglucose positron emission tomography/computed tomography (PET/CT) suggested PMR with GCA. A 78-year-old woman presented with alternating bilateral shoulder pain. She was repeatedly misdiagnosed with septic arthritis and treated with surgery. Based on clinical manifestations and laboratory tests, we retrospectively diagnosed her with PMR. We conclude that a careful analysis of the patient’s history and a meticulous examination is necessary for the correct diagnosis of PMR in elderly patients.
Keywords: Polymyalgia Rheumatica, Shoulder Pain, Stroke


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