Point of care ultrasound for the diagnosis of polymyalgia rheumatica in chronic seronegative polyarthritis: a case report

Guillén López O.B. · Revista Colombiana de Reumatologia (2022) · DOI: 10.1016/j.rcreu.2020.05.019

Resumen

Polymyalgia Rheumatica is one of the most frequent inflammatory musculoskeletal disorders in adults over 50 years of age that can present with polyarthritis. The case is presented of a 65-year-old woman with chronic disabling severe polyarticular pain associated with polyarthritis. It was initially diagnosed as seronegative rheumatoid arthritis, in which bilateral sub-deltoid and trochanteric bursitis was demonstrated by ultrasound, along with bicipital tenosynovitis, all features of polymyalgia rheumatica. A good clinical and ultrasound response to corticosteroid treatment is also described.

Instituciones: Universidad Peruana Cayetano Heredia