Polymyalgia Rheumatica

Сатыбалдыев, А. М.; Demidova, N. V.; Савушкина, Н. М.; Gordeev, A. V.

doi:10.14412/1995-4484-2018-215-227

rsp

2018

DOI: 10.14412/1995-4484-2018-215-227

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Polymyalgia Rheumatica

А. М. Сатыбалдыев¹,

N. V. Demidova²,

Н. М. Савушкина³

et al.

Abstract: П р о г р а м м а н е п р е р ы в н о г о п о с л е д и п л о м н о г о о б р а з о в а н и я в р а ч е й Демидова Н.В.научный сотрудник лаборатории ранних артритов ФГБНУ им. В.А. Насоновой, канд. мед. наук Сатыбалдыев А.М.ведущий научный сотрудник лаборатории ранних артритов ФГБНУ им. В.А. Насоновой, докт. мед. наук Савушкина Н.М.младший научный сотрудник лаборатории ранних артритов ФГБНУ им. В.А. Насоновой, канд. мед. наук ФГБНУ «Научноисследовательский институт ревматологии им. В.А. Насоновой»,

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Cited by 4 publications

References 67 publications

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Rheumatic polymyalgia: clinic, diagnosis, principles of therapy (to help the primary care physician)

Светлова¹

2021

Medicinskij sovet

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In recent decades, there has been an increase in the number of elderly people. Among the patients of the primary care physician, without a doubt, those who are over 60 years old predominate. A feature of the elderly is polymorbidity. Combined pathology, numerous complaints of patients make it difficult to diagnose diseases, require patience from the doctor, and, of course, knowledge. There are diseases that are peculiar only to the elderly, developing only after 50 years. These include rheumatic polymyalgia. This pathology is not frequent and, in this regard, is not very familiar to outpatient therapists. However, it is to them that elderly patients turn with complaints of pain and stiffness in the shoulder and/or pelvic girdle, in the neck, in the joints of the hands, fever, weight loss, sleep disorders, depression, general malaise (the main complaints of patients with rheumatic polymyalgia). The above-mentioned clinical manifestations, as well as the high laboratory activity inherent in this disease, make the doctor look for malignant neoplasms, infectious, systemic processes. This takes a long time, the diagnosis is delayed, the sufferings of the patient are prolonged. The article presents data on the prevalence, clinical features, methods of diagnosis of rheumatic polymyalgia and its differential diagnosis. The criteria of the disease, the principles of management of the patient at the outpatient stage (step-by-step treatment with glucocorticoids, alternative approaches, prevention of side effects of therapy, which develop quite often) are also given. Awareness of primary care physicians about rheumatic polymyalgia, its manifestations and diagnostic methods will speed up the diagnosis, timely consultation of the patient with a rheumatologist, which will allow you to start adequate treatment, significantly improve the quality of life of an elderly patient, and prevent the destabilization of concomitant diseases.

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Rheumatic polymyalgia: clinic, diagnosis, principles of therapy (to help the primary care physician)

Светлова¹

2021

Medicinskij sovet

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Onset of multiple myeloma with rheumatic polymyalgia

Исраелян

Головатая

Бондаренко

et al. 2019

Med. vestn. Ûga Ross.

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A clinical observation of a patient presented with a typical clinic of rheumatic polymyalgia (RPM), which was a manifestation of myeloma. The relationship between rheumatic polymyalgia and giant cell arteritis (GCA) is well known, but association of RPM with lymphoproliferative diseases is rarely reported. In this case there was a clinical improvement in the patient’s condition aft er chemotherapy treatment.

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Patient with polymyalgia rheumatica — how to prevent gastrointestinal damage?

Кудина¹,

Самкова²,

Ларина³

2020

jour

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Basis. The problem of multimorbidity and related polypragmasia is highly relevant for health practitioners. Providing treatment a doctor should keep in mind itsall possible negative consequences that might exacerbate other diseases. One of the most current problems of modern pharmacotherapy is the development of gastropatia and other gastrointestinal lesions because of drug intake. It is extremely important for rheumatologic patients, especially elderly ones, due to side effects of nonsteroidal anti-inflammatory drugs and glucocorticoids. Reasonable approach to the prescription of this therapy and side effects prevention is a significant factor of the preventive work of the therapist and the general practitioner of the outpatient service. In patients with rheumatic polymyalgia we showed an approach to long-term treatment of corticosteroids in elderly patients, the aim of which is to achieve a stable remission of the disease and to minimize the undesirable effect of the medication on the gastrointestinal tract.Aim. Provide an algorithm for the approach to identifying the risk factors of medicinal gastrointestinal lesions and methods for their prevention.Material and methods. We analyzed literature sources, including Russian guidelines over the last 10 years.Results. In the article we present an algorithm for detecting the risk of developing gastrointestinal tract lesions against the background of corticosteroid therapy in elderly patients and ways of preventing it.Conclusion. The prevention of unwanted drug reactions is an important aspect of a doctor’s work, especially in the treatment of elderly patients. The presented algorithm for identification of risk groups and prevention of side effects is intended to help the practical doctor in working with this category of patients.

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Polymyalgia Rheumatica

Cited by 4 publications

References 67 publications

Rheumatic polymyalgia: clinic, diagnosis, principles of therapy (to help the primary care physician)

Rheumatic polymyalgia: clinic, diagnosis, principles of therapy (to help the primary care physician)

Onset of multiple myeloma with rheumatic polymyalgia

Patient with polymyalgia rheumatica — how to prevent gastrointestinal damage?

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