title: [Polymyalgia rheumatica and aortic involvement].
abstract: Polymyalgia rheumatica (PMR) is an inflammatory disorder that affects people over 50 years of age, characterized by pain and stiffness in the neck and shoulder and pelvic girdles. PMR may occur as an isolated condition or concomitantly with giant cell arteritis. Similar to other inflammatory rheumatic disorders, PMR is associated with an increased cardiovascular risk due to inflammatory changes in large arterial vessels, which result in an increased chance of developing aneurysms and dissections. International guidelines do not provide specific indications about the management of PMR patients with aortic wall inflammation. In this review, we propose a diagnostic pathway for the management of PMR patients with aortic involvement based on literature data and personal experience.
authors.forename: Cecilia
authors.initials: C
authors.lastname: De Lorenzi
authors.forename: Ulrico
authors.initials: U
authors.lastname: Dorighi
authors.forename: Dario
authors.initials: D
authors.lastname: Camellino
authors.forename: Gian Marco
authors.initials: GM
authors.lastname: Rosa
authors.forename: Gian Luca
authors.initials: GL
authors.lastname: Secchi
authors.forename: Marco Amedeo
authors.initials: MA
authors.lastname: Cimmino
authors.forename: Claudio
authors.initials: C
authors.lastname: Brunelli
mesh_terms: D000465:Algorithms; D003937:Diagnosis, Differential; D004452:Echocardiography; D013700:Giant Cell Arteritis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D011111:Polymyalgia Rheumatica / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D049268:Positron-Emission Tomography; D014057:Tomography, X-Ray Computed