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http://dx.doi.org/10.1016/j.jbspin.2022.105378 | DOI Listing |
Medicine (Baltimore)
September 2025
Department of Rheumatology and Immunology, Inner Mongolia Autonomous Region People's Hospital, Hohhot, China.
Polymyalgia rheumatica (PMR) is a prevalent chronic inflammatory disorder among the elderly, presenting diagnostic and therapeutic challenges. Existing treatments like glucocorticoids have significant side effects, and the molecular mechanisms of PMR remain unclear. This study employed a 2-sample bidirectional Mendelian randomization approach to explore the causal relationship between 1091 metabolites, 309 metabolite ratios, and PMR risk.
View Article and Find Full Text PDFNeuroophthalmology
September 2024
Department of Surgery, Lahey Hospital & Medical Center, Burlington, Massachusetts, USA.
To report on the occurrence and characteristics of eye manifestations and determine the predictors of permanent vision loss (PVL) in patients with giant cell arteritis. Case-control study. Retrospective cohort study of 258 patients diagnosed with giant cell arteritis (GCA) over a 20- year period at a single institution.
View Article and Find Full Text PDFCureus
July 2025
Department of General Internal Medicine, Tenri Hospital, Nara, JPN.
Objective This study assessed whether the addition of methotrexate (MTX) to glucocorticoid therapy reduces overall glucocorticoid usage in patients with polymyalgia rheumatica (PMR), focusing particularly on those exhibiting glucocorticoid-resistant disease. Methods This retrospective study included 82 patients with PMR treated with glucocorticoids. After applying matching weights, outcomes were compared between weighted populations of 18 patients receiving MTX and 18 receiving glucocorticoid monotherapy.
View Article and Find Full Text PDFRheumatol Int
September 2025
Department of General and Specialistic Medicine Rheumatology Unit, Azienda Ospedaliero Universitaria Città della Salute e della Scienza di Torino, Turin, Italy.
Polymyalgia rheumatica (PMR) is a common inflammatory disorder in the elderly, characterized by pain and stiffness in the shoulder and pelvic girdles. The diagnosis of PMR may be challenging due to its nonspecific clinical features and overlap with other musculoskeletal conditions, such as degenerative rotator cuff tendinopathy (dRCT). Although subacromial-subdeltoid bursitis (bSAD) is included in the 2012 ACR/EULAR classification criteria for PMR, its diagnostic specificity is limited unless further ultrasound (US) parameters are considered.
View Article and Find Full Text PDFJ Intern Med
September 2025
Université Paris-Saclay, UVSQ, Inserm CESP U1018, Gustave Roussy, Villejuif, France.
Objectives: To assess the association between infections, assessed by antibiotic reimbursement, and the occurrence of giant cell arteritis (GCA) and/or polymyalgia rheumatica (PMR).
Methods: We conducted a nested case-control study from the French cohort E3N-European Prospective Investigation into Cancer and Nutrition, which has followed 98,995 women since 1990. Cases, defined as patients who developed GCA and/or PMR during follow-up, were matched with 20 controls on age and vital status.