Polymyalgia Rheumatica (PMR) with Normal Values of Both Erythrocyte Sedimentation Rate (ESR) and C-Reactive Protein (CRP) Concentration at the Time of Diagnosis in a Centenarian Man: A Case Report
Abstract
:1. Introduction
2. Case Report
3. Discussion
4. Conclusions
5. Take-Home Messages
- The diagnosis of PMR is possible, even if ESR and CRP have not increased.
- US and 18-FDG PET/CT evaluations might increase diagnostic rates of ESR and CRP negative PMR.
- A rigorous diagnostic work-up and a long follow-up (one year, as minimum) are mandatory to avoid mistakes.
- The onset of PMR in a centenarian is exceptional. In this age range, the genetic background seems to be important in conditioning laboratory data more than in other periods of life.
Funding
Conflicts of Interest
Consent for Publication
References
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Manzo, C. Polymyalgia Rheumatica (PMR) with Normal Values of Both Erythrocyte Sedimentation Rate (ESR) and C-Reactive Protein (CRP) Concentration at the Time of Diagnosis in a Centenarian Man: A Case Report. Diseases 2018, 6, 84. https://doi.org/10.3390/diseases6040084
Manzo C. Polymyalgia Rheumatica (PMR) with Normal Values of Both Erythrocyte Sedimentation Rate (ESR) and C-Reactive Protein (CRP) Concentration at the Time of Diagnosis in a Centenarian Man: A Case Report. Diseases. 2018; 6(4):84. https://doi.org/10.3390/diseases6040084
Chicago/Turabian StyleManzo, Ciro. 2018. "Polymyalgia Rheumatica (PMR) with Normal Values of Both Erythrocyte Sedimentation Rate (ESR) and C-Reactive Protein (CRP) Concentration at the Time of Diagnosis in a Centenarian Man: A Case Report" Diseases 6, no. 4: 84. https://doi.org/10.3390/diseases6040084
APA StyleManzo, C. (2018). Polymyalgia Rheumatica (PMR) with Normal Values of Both Erythrocyte Sedimentation Rate (ESR) and C-Reactive Protein (CRP) Concentration at the Time of Diagnosis in a Centenarian Man: A Case Report. Diseases, 6(4), 84. https://doi.org/10.3390/diseases6040084