Late onset spondyloarthropathy mimicking polymyalgia rheumatica
March 21st, 2010 | 
Author: We report a 55-year-old woman with late onset spondyloarthropathy who had widespread body pain and pitting oedema of both
ankles. She had been followed up for polymyalgia rheumatica for nearly 10 years. On laboratory examination, ESR: 62 mm/h and
CRP: 16.1 mg/dl. HLA was positive. There was tenderness on both of her ankles. We diagnosed late onset spondyloarthropathy
according to clinic and radiographic findings. The patient was treated with sulphasalazine 200 mg/day and indomethacin 100 mg/day.
As a conclusion, LoSPA may mimic a variety of rheumatic conditions such as PMR and reflex sympathetic dystrophy syndrome.
Careful examination should be warranted in such conditions.
Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00296-010-1394-5Autho…
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