A case of polymyalgia rheumatica diagnosed in pain clinic after a long time from the onset
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- NOMURA Masataka
- Department of Anesthesiology, Kansai Denryoku Hospital
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- TANAKA Masuji
- Department of Anesthesiology, Kansai Denryoku Hospital
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- NAKASUJI Kae
- Department of Anesthesiology, Kansai Denryoku Hospital
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- IMANAKA Norie
- Department of Anesthesiology, Kansai Denryoku Hospital
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- SUH Soon-Hak
- Department of Anesthesiology, Kansai Denryoku Hospital
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- NAKAMURA Mitsuyo
- Department of Anesthesiology, Kansai Denryoku Hospital
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- NAKASUJI Masato
- Department of Anesthesiology, Kansai Denryoku Hospital
Bibliographic Information
- Other Title
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- 発症後長期間を経過しペインクリニック外来で診断を行ったリウマチ性多発筋痛症の1症例
- ハッショウ ゴ チョウキカン オ ケイカ シ ペインクリニック ガイライ デ シンダン オ オコナッタ リウマチセイ タハツキンツウショウ ノ 1 ショウレイ
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Abstract
We report a patient with polymyalgia rheumatica referred to our hospital as unexplained musculoskeletal pain and diagnosed when the symptom was exacerbated during continuation of treatment. A male in his 60s had experienced cervix, shoulder, and upper arm pain after the onset of herpes zoster in breast back. Although the symptom was prolonged for 17 years, blood tests and imaging findings showed no obvious abnormalities causing the pain, and diagnosis of causative disease was undetermined. Satellite ganglion block, trigger-point injection, and drug therapy had gradually diminished the symptom, but half a year later the pain was exacerbated. At that time, upper-arm grasping pain appeared, and C-reactive protein and erythrocyte sedimentation rate increased. We considered polymyalgia rheumatica and prescribed steroid; all symptoms disappeared quickly. In a pain clinic, when treating prolonged musculoskeletal pain, continuous clinical observation and detailed physical examinations are needed in consideration of the possibility of various rheumatic diseases.
Journal
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- Journal of Japan Society of Pain Clinicians
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Journal of Japan Society of Pain Clinicians 20 (1), 28-31, 2013
Japan Society of Pain Clinicians
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Details 詳細情報について
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- CRID
- 1390282679434682880
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- NII Article ID
- 10031155677
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- NII Book ID
- AN10440947
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- ISSN
- 18841791
- 13404903
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- NDL BIB ID
- 024324938
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- CiNii Articles
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- Abstract License Flag
- Disallowed