Water vapor therapy and polymyalgia rheumatica: Coincidental?
Polymyalgia rheumatica (PMR) is an inflammatory rheumatic condition characterized by pain and stiffness around the shoulders and hip girdles, an elevated erythrocyte sedimentation rate (ESR) or C-reactive protein (CRP) and a dramatic response to corticosteroids. It is usually seen in adults aged ove...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-11-01
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| Series: | Journal of Family Medicine and Primary Care |
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| Online Access: | https://journals.lww.com/10.4103/jfmpc.jfmpc_676_23 |
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| author | Joshua Lee Sandy Lee Tracy U. Nguyen-Oghalai |
| author_facet | Joshua Lee Sandy Lee Tracy U. Nguyen-Oghalai |
| author_sort | Joshua Lee |
| collection | DOAJ |
| description | Polymyalgia rheumatica (PMR) is an inflammatory rheumatic condition characterized by pain and stiffness around the shoulders and hip girdles, an elevated erythrocyte sedimentation rate (ESR) or C-reactive protein (CRP) and a dramatic response to corticosteroids. It is usually seen in adults aged over 50 years; about 30% also have giant cell arteritis. Its etiology is unknown. A 72-year-old male received water vapor therapy, a novel, minimally invasive therapy for benign prostate hypertrophy (BPH). On postoperative day 1, he developed severe shoulder pain and weakness, with difficulty with lifting his arms above his head, and hip pain and weakness, with difficulty getting out of a bed or chair. Laboratory results showed elevated ESR and CRP, but a normal creatine kinase level. The patient received low-dose prednisone and had prompt symptom relief. This case illustrates that a diagnosis of PMR after water vapor therapy can be easily overlooked. |
| format | Article |
| id | doaj-art-a90bd0850953428c9b971c264e22f908 |
| institution | Kabale University |
| issn | 2249-4863 2278-7135 |
| language | English |
| publishDate | 2023-11-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj-art-a90bd0850953428c9b971c264e22f9082024-11-11T13:53:19ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632278-71352023-11-0112112976297810.4103/jfmpc.jfmpc_676_23Water vapor therapy and polymyalgia rheumatica: Coincidental?Joshua LeeSandy LeeTracy U. Nguyen-OghalaiPolymyalgia rheumatica (PMR) is an inflammatory rheumatic condition characterized by pain and stiffness around the shoulders and hip girdles, an elevated erythrocyte sedimentation rate (ESR) or C-reactive protein (CRP) and a dramatic response to corticosteroids. It is usually seen in adults aged over 50 years; about 30% also have giant cell arteritis. Its etiology is unknown. A 72-year-old male received water vapor therapy, a novel, minimally invasive therapy for benign prostate hypertrophy (BPH). On postoperative day 1, he developed severe shoulder pain and weakness, with difficulty with lifting his arms above his head, and hip pain and weakness, with difficulty getting out of a bed or chair. Laboratory results showed elevated ESR and CRP, but a normal creatine kinase level. The patient received low-dose prednisone and had prompt symptom relief. This case illustrates that a diagnosis of PMR after water vapor therapy can be easily overlooked.https://journals.lww.com/10.4103/jfmpc.jfmpc_676_23benign prostate hypertrophypolymyalgia rheumaticawater vapor therapy |
| spellingShingle | Joshua Lee Sandy Lee Tracy U. Nguyen-Oghalai Water vapor therapy and polymyalgia rheumatica: Coincidental? Journal of Family Medicine and Primary Care benign prostate hypertrophy polymyalgia rheumatica water vapor therapy |
| title | Water vapor therapy and polymyalgia rheumatica: Coincidental? |
| title_full | Water vapor therapy and polymyalgia rheumatica: Coincidental? |
| title_fullStr | Water vapor therapy and polymyalgia rheumatica: Coincidental? |
| title_full_unstemmed | Water vapor therapy and polymyalgia rheumatica: Coincidental? |
| title_short | Water vapor therapy and polymyalgia rheumatica: Coincidental? |
| title_sort | water vapor therapy and polymyalgia rheumatica coincidental |
| topic | benign prostate hypertrophy polymyalgia rheumatica water vapor therapy |
| url | https://journals.lww.com/10.4103/jfmpc.jfmpc_676_23 |
| work_keys_str_mv | AT joshualee watervaportherapyandpolymyalgiarheumaticacoincidental AT sandylee watervaportherapyandpolymyalgiarheumaticacoincidental AT tracyunguyenoghalai watervaportherapyandpolymyalgiarheumaticacoincidental |