title: Ocular Inflammation Associated with Polymyalgia Rheumatica without Concomitant Giant-Cell Arteritis: A Report of Three Cases.
abstract: OBJECTIVE
  We report three cases of ocular inflammation and polymyalgia rheumatica without concomitant giant-cell arteritis.
  
  
  METHODS
  Report of three cases.
  
  
  RESULTS
  Polymyalgia rheumatica onset was at a mean age of 66.7 years, and ocular inflammation, which developed 7-21 months later, was bilateral in all patients. Ocular inflammation presented as episcleritis, scleritis, or anterior uveitis, and it emerged during the tapering of low-dose prednisolone prescribed for polymyalgia rheumatica in all patients. Recurrence of ocular inflammation was observed in two patients.
  
  
  CONCLUSIONS
  Ocular inflammation associated with polymyalgia rheumatica was often bilateral and occurred during steroid tapering. Although this presentation is relatively uncommon, polymyalgia rheumatica should be considered in the differential diagnosis of older patients presenting with ocular inflammation, especially those with proximal myalgia and elevated inflammatory markers.
authors.affiliation: a Department of Ophthalmology , The University of Tokyo Hospital , Tokyo , Japan.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Arai
authors.affiliation: a Department of Ophthalmology , The University of Tokyo Hospital , Tokyo , Japan.
authors.forename: Rie
authors.initials: R
authors.lastname: Tanaka
authors.affiliation: a Department of Ophthalmology , The University of Tokyo Hospital , Tokyo , Japan.
authors.forename: Toshikatsu
authors.initials: T
authors.lastname: Kaburaki
mesh_terms: D000284:Administration, Oral; D000368:Aged; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005260:Female; D005469:Fluorometholone / Q000008:administration & dosage*; D013700:Giant Cell Arteritis; D005938:Glucocorticoids / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008875:Middle Aged; D009883:Ophthalmic Solutions; D011111:Polymyalgia Rheumatica / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D011239:Prednisolone / Q000008:administration & dosage*; D015423:Scleritis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D014606:Uveitis, Anterior / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*
chemical_list: D005938:Glucocorticoids; D009883:Ophthalmic Solutions; D011239:Prednisolone; D005469:Fluorometholone
keywords: Giant-cell arteritis; ocular inflammation; polymyalgia rheumatica; scleritis; uveitis