HERBERT KAPLAN, M.D.
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To the editor: Polymyalgia rheumatica is a nice disease because it can be cured. However, it is also a specific clinical syndrome that should not be lumped with the other "wastepaper basket" diagnoses.
In the report of Dr. Miller and colleagues (1) of their patients with granulomatous angiitis who presented with "polymyalgia rheumatica," their only apparent justification for this rheumatic diagnosis was their report of "arthralgias, fever (temperatures to 38.9°C), and severe muscle tenderness with proximal muscle weakness. Laboratory studies showed an elevated sedimentation rate and normal creatine phosphokinase and aldolase levels." An important physical finding in diagnosing polymyalgia rheumatica
KAPLAN H. Polymyalgia Rheumatica: The Diagnosis. Ann Intern Med. 1985;102:865. doi: 10.7326/0003-4819-102-6-865_1
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Published: Ann Intern Med. 1985;102(6):865.
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