[Polymyalgia rheumatica as the presenting symptom of multiple myeloma].
Polymyalgia rheumatica is a clinical syndrome which appears after the age of 50 and is characterized by pain and stiffness of proximal muscles, rapid sedimentation rate and a dramatic response to small doses of corticosteroids. The linkage between polymyalgia rheumatica and temporal arteritis is well-known, but the connection with monoclonal gammopathy and lympho-proliferative disorders has rarely been reported. We present a 74-year-old man admitted with the typical clinical picture of polymyalgia rheumatica, which was the presenting symptom of monoclonal gammopathy and subsequently-diagnosed multiple myeloma.
Gelber
M
M
Dept. of Medicine A, Laniado Hospital, Natanya.
D000368:Aged; D006801:Humans; D008297:Male; D009101:Multiple Myeloma / Q000150:complications*; D010265:Paraproteinemias / Q000150:complications; D011111:Polymyalgia Rheumatica / Q000209:etiology*