Anterior Uveitis as an Initial Manifestation of Polymyalgia Rheumatica

A 74-year-old woman without contributory medical history presented with acute iridocyclitis in the right eye. Although the iridocyclitis disappeared within two weeks under topical steroid, she complained of acute progressing bilateral shoulder pain and morning stiffness of upper extremities. She was...

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Main Authors: Hiromasa Tsuda, Kozue Tanaka, Shuji Kishida
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2011/621241
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author Hiromasa Tsuda
Kozue Tanaka
Shuji Kishida
author_facet Hiromasa Tsuda
Kozue Tanaka
Shuji Kishida
author_sort Hiromasa Tsuda
collection DOAJ
description A 74-year-old woman without contributory medical history presented with acute iridocyclitis in the right eye. Although the iridocyclitis disappeared within two weeks under topical steroid, she complained of acute progressing bilateral shoulder pain and morning stiffness of upper extremities. She was diagnosed as having polymyalgia rheumatica (PMR), and iridocyclitis was considered as its related manifestation. PMR and giant cell arteritis (GCA) are closely related conditions and frequently occur together. GCA with uveitis has been rarely noted. However, ocular symptoms in PMR have not been previously mentioned. This is a first reported case of PMR presented with uveitis, without a complication of GCA. This anterior uveitis might be caused by ischemia of the posterior ciliary arteries and their branches.
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spelling doaj-art-0ac5de02cfae4b649ef3414bde4cb1992025-02-03T06:13:48ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/621241621241Anterior Uveitis as an Initial Manifestation of Polymyalgia RheumaticaHiromasa Tsuda0Kozue Tanaka1Shuji Kishida2Department of Neurology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22, Honkomagome, Bunkyo-ku, Tokyo 113-8677, JapanDepartment of Neurology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22, Honkomagome, Bunkyo-ku, Tokyo 113-8677, JapanDepartment of Neurology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22, Honkomagome, Bunkyo-ku, Tokyo 113-8677, JapanA 74-year-old woman without contributory medical history presented with acute iridocyclitis in the right eye. Although the iridocyclitis disappeared within two weeks under topical steroid, she complained of acute progressing bilateral shoulder pain and morning stiffness of upper extremities. She was diagnosed as having polymyalgia rheumatica (PMR), and iridocyclitis was considered as its related manifestation. PMR and giant cell arteritis (GCA) are closely related conditions and frequently occur together. GCA with uveitis has been rarely noted. However, ocular symptoms in PMR have not been previously mentioned. This is a first reported case of PMR presented with uveitis, without a complication of GCA. This anterior uveitis might be caused by ischemia of the posterior ciliary arteries and their branches.http://dx.doi.org/10.1155/2011/621241
spellingShingle Hiromasa Tsuda
Kozue Tanaka
Shuji Kishida
Anterior Uveitis as an Initial Manifestation of Polymyalgia Rheumatica
Case Reports in Medicine
title Anterior Uveitis as an Initial Manifestation of Polymyalgia Rheumatica
title_full Anterior Uveitis as an Initial Manifestation of Polymyalgia Rheumatica
title_fullStr Anterior Uveitis as an Initial Manifestation of Polymyalgia Rheumatica
title_full_unstemmed Anterior Uveitis as an Initial Manifestation of Polymyalgia Rheumatica
title_short Anterior Uveitis as an Initial Manifestation of Polymyalgia Rheumatica
title_sort anterior uveitis as an initial manifestation of polymyalgia rheumatica
url http://dx.doi.org/10.1155/2011/621241
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AT kozuetanaka anterioruveitisasaninitialmanifestationofpolymyalgiarheumatica
AT shujikishida anterioruveitisasaninitialmanifestationofpolymyalgiarheumatica