Abstract
Polymyalgia rheumatica (PMR) is a type of inflammatory rheumatologic disease manifested by myalgias in the neck, shoulder, and pelvic girdles and morning stiffness. The diagnosis is based on a combination of clinical symptoms and elevated reactants of the acute phase. Diagnostic problems occur in situations where the reactants are normal. Fluorine-18-fluorodeoxyglucose (18F-FDG) positron emission tomography/computed tomography (PET/CT) may support a PMR diagnosis by determining areas of increased glucose metabolism in the surroundings of the shoulder, hip joints, and spinous processes of the vertebrae. We describe a case of a patient with typical myalgias due to polymyalgia rheumatica, almost normal reactants of the acute phase, and a PET/CT pattern supporting a PMR diagnosis; in addition to the typical locations shown, the area of the ischial tuberosities was also a place of inflammatory activity.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Bird HA, Leeb BF, Montecucco CM, et al. A comparison of the sensitivity of diagnostic criteria for polymyalgia rheumatica. Ann Rheum Dis. 2005;64:626–9.
Cantini F, Salvarani C, Olivieri I, et al. Erythrocyte sedimentation rate and C-reactive protein in the evaluation of disease activity and severity in polymyalgia rheumatica: a prospective follow-up study. Semin Arthritis Rheum. 2000;30:17–24.
Dasgupta B, Cimmino MA, Kremers HM, et al. 2012 provisional classification criteria for polymyalgia rheumatica-EULAR/ACR collaborative initiative. Arthritis Rheum. 2012;64:943–54.
Blockmans D. PET in vasculitis. Ann N Y Acad Sci. 2011;1288:64–70.
Salvarini C, Barozzi L, Boiardi L, et al. Lumbar interspinous bursitis in active polymyalgia rheumatica. Clin Exp Rheumatol. 2013;31:526–37.
Blockmans D, Ceuninck LD, Vanderschueren S, et al. Repetitive 18-fluorodeoxyglucose positron emission tomography in isolated polymyalgia rheumatica: a prospective study in 35 patients. Rheumatology. 2007;46:672–7.
Owen CE, Buchanan RR, Hoi A. Recent advances in polymylagia rheumatica. Intern Med. 2015;45:1102–8.
Clifford A, Burrell S, Hanly JG. Positron emission tomography/computed tomography for the diagnosis and assessment of giant cell arteritis: when to consider it and why. J Rheumatol. 2012;39:1909–11.
Bhattacharje S, Yap K, Longano A, et al. Is fluorine 18 fluorodeoxyglucose positron emission tomography scanning a suitable diagnostic test for histologically active large-vessel vasculitis? J Clin Rheumatol. 2011;17:31–4.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Franeková, L. (2017). Usefulness of 18F-FDG PET/CT for the Diagnosis of Polymyalgia Rheumatica. In: Rovenský, J., Leeb, B., Štvrtinová, V., Imrich, R. (eds) Polymyalgia Rheumatica and Giant Cell Arteritis. Springer, Cham. https://doi.org/10.1007/978-3-319-52222-7_10
Download citation
DOI: https://doi.org/10.1007/978-3-319-52222-7_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-52221-0
Online ISBN: 978-3-319-52222-7
eBook Packages: MedicineMedicine (R0)