Polymyalgia rheumatica can recur years after discontinuation of corticosteroid therapy

Clin Exp Rheumatol. 2009 Jan-Feb;27(1 Suppl 52):S25-7.

Abstract

Objective: To describe disease recurrence in polymyalgia rheumatica.

Methods: I present 12 patients with recurring PMR from a single clinical practice with long-term clinical follow-up (mean 14.3 years).

Results: Despite a disease-free interval off corticosteroids of 2 years or longer, these patients experienced 1 overt recurrence (or more) of PMR.

Conclusion: The course of PMR is not uniformly monophasic, and patient and physician should remain alert to the possibility of recurring disease.

MeSH terms

  • Aged
  • Antirheumatic Agents / therapeutic use*
  • Blood Sedimentation
  • Female
  • Follow-Up Studies
  • Glucocorticoids / therapeutic use*
  • Humans
  • Male
  • Middle Aged
  • Polymyalgia Rheumatica / blood
  • Polymyalgia Rheumatica / drug therapy*
  • Polymyalgia Rheumatica / physiopathology
  • Recurrence
  • Time Factors
  • Withholding Treatment

Substances

  • Antirheumatic Agents
  • Glucocorticoids