Back to Journals » International Journal of General Medicine » Volume 5

Polymyalgia rheumatica in a married couple

Authors Rüst, Knechtle B, Rosemann T, Wermelinger

Received 2 July 2012

Accepted for publication 26 July 2012

Published 22 August 2012 Volume 2012:5 Pages 711—714

DOI https://doi.org/10.2147/IJGM.S35536

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Christoph Alexander Rüst,1 Beat Knechtle,1,2 Thomas Rosemann,1 Felix Wermelinger3

1Institute of General Practice and Health Services Research, University of Zurich, Zurich, Switzerland; 2St Gallen Health Center, St Gallen, Switzerland; 3Department of Rheumatology, University Hospital, University of Bern, Switzerland

Abstract: The case of a married couple developing polymyalgia rheumatica (PMR) consecutively is presented. The 55-year-old wife complained in June 2010 about pain in her neck. Case history, physical examination, and erythrocyte sedimentation rate (ESR) of 80 mm/hour led to the diagnosis of PMR. In May 2011, her 66-year old husband complained about pain in his neck, shoulders, buttocks, and thighs. Considering anamnesis, physical examination, and ESR of 56 mm/hour, the diagnosis of PMR was made. Both wife and husband responded to steroid treatment. When the steroid dose was gradually reduced, both patients relapsed. In order to lower the cumulative dose of glucocorticoid therapy, 10 mg methotrexate per week was added. In the literature, six cases of polymyalgia rheumatica in married couples have been described to date. In four cases, polymyalgia rheumatica occurred first in the wife. The interval of the diagnosis between the spouses ranged from 0 to 89 months. Although in most of the previous case reports a genetic disposition and an infectious agent have been discussed, this hypothesis must be questioned.

Keywords: husband, wife, erythrocyte sedimentation rate, C-reactive protein, polymyalgia rheumatica

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]

 

Other articles by this author:

Feet swelling in a multistage ultraendurance triathlete: a case study

Knechtle B, Zingg MA, Knechtle P, Rosemann T, Rüst CA

International Journal of General Medicine 2015, 8:325-332

Published Date: 13 October 2015

Variables that influence Ironman triathlon performance – what changed in the last 35 years?

Knechtle B, Knechtle R, Stiefel M, Zingg MA, Rosemann T, Rüst CA

Open Access Journal of Sports Medicine 2015, 6:277-290

Published Date: 25 August 2015

Pacing strategy in male elite and age group 100 km ultra-marathoners

Knechtle B, Rosemann T, Zingg MA, Stiefel M, Rüst CA

Open Access Journal of Sports Medicine 2015, 6:71-80

Published Date: 20 March 2015

Performance differences between sexes in 50-mile to 3,100-mile ultramarathons

Zingg MA, Knechtle B, Rosemann T, Rüst CA

Open Access Journal of Sports Medicine 2015, 6:7-21

Published Date: 22 January 2015

Sex difference in top performers from Ironman to double deca iron ultra-triathlon

Knechtle B, Zingg MA, Rosemann T, Rüst CA

Open Access Journal of Sports Medicine 2014, 5:159-172

Published Date: 26 June 2014

Finisher and performance trends in female and male mountain ultramarathoners by age group

Rüst CA, Knechtle B, Eichenberger E, Rosemann T, Lepers R

International Journal of General Medicine 2013, 6:707-718

Published Date: 20 August 2013

Performance and age of African and non-African runners in half- and full marathons held in Switzerland, 2000–2010

Aschmann A, Knechtle B, Cribari M, Rüst CA, Onywera V, Rosemann T, Lepers R

Open Access Journal of Sports Medicine 2013, 4:183-192

Published Date: 24 July 2013

Increase in finishers and improvement of performance of masters runners in the Marathon des Sables

Jampen SC, Knechtle B, Rust CA, Lepers R, Rosemann T

International Journal of General Medicine 2013, 6:427-438

Published Date: 5 June 2013

Reduced performance difference between sexes in master mountain and city marathon running

Zingg MA, Knechtle B, Rüst CA, Rosemann T, Lepers R

International Journal of General Medicine 2013, 6:267-275

Published Date: 18 April 2013

Analysis of participation and performance in athletes by age group in ultramarathons of more than 200 km in length

Zingg MA, Knechtle B, Rüst CA, Rosemann T, Lepers R

International Journal of General Medicine 2013, 6:209-220

Published Date: 9 April 2013

A comparison of medley and freestyle performance for national and international swimmers between 1994 and 2011

Buhl C, Knechtle B, Rüst CA, Rosemann T, Lepers R

Open Access Journal of Sports Medicine 2013, 4:79-87

Published Date: 26 March 2013

Participation and performance trends in ultracycling

Abou Shoak M, Knechtle B, Knechtle P, Rüst CA, Rosemann T, Lepers R

Open Access Journal of Sports Medicine 2013, 4:41-51

Published Date: 25 February 2013

A comparison of participation and performance in age group finishers competing in and qualifying for Ironman Hawaii

Stiefel M, Rüst CA, Rosemann T, Knechtle B

International Journal of General Medicine 2013, 6:67-77

Published Date: 22 February 2013

European dominance in multistage ultramarathons: an analysis of finisher rate and performance trends from 1992 to 2010

Abou Shoak M, Knechtle B, Rüst CA, Lepers R, Rosemann T

Open Access Journal of Sports Medicine 2013, 4:9-18

Published Date: 11 January 2013

Women achieve peak freestyle swim speed at earlier ages than men

Rüst CA, Knechtle B, Rosemann T

Open Access Journal of Sports Medicine 2012, 3:189-199

Published Date: 12 November 2012

Central European triathletes dominate Double Iron ultratriathlon – analysis of participation and performance 1985–2011

Sigg K, Knechtle B, Rüst CA, Knechtle P, Lepers R, Rosemann T

Open Access Journal of Sports Medicine 2012, 3:159-168

Published Date: 29 October 2012

Changes in single skinfold thickness in 100 km ultramarathoners

Knechtle B, Baumgartner S, Knechtle P, Rüst CA, Rosemann T, Bescós R

Open Access Journal of Sports Medicine 2012, 3:147-157

Published Date: 25 October 2012

Running a marathon from -45°C to +55°C in a climate chamber: a case study

Kälin K, Knechtle B, Rüst CA, Mydlak K, Rosemann T

Open Access Journal of Sports Medicine 2012, 3:131-145

Published Date: 25 October 2012

Age and sex interactions in mountain ultramarathon running – the Swiss Alpine Marathon

Eichenberger E, Knechtle B, Rüst CA, Rosemann T, Lepers R

Open Access Journal of Sports Medicine 2012, 3:73-80

Published Date: 31 July 2012

Running speed during training and percent body fat predict race time in recreational male marathoners

Barandun U, Knechtle B, Knechtle P, Klipstein A, Rust CA, Rosemann T, Lepers R

Open Access Journal of Sports Medicine 2012, 3:51-58

Published Date: 2 July 2012

Personal best times in an Olympic distance triathlon and in a marathon predict Ironman race time in recreational male triathletes

Rüst CA, Knechtle B, Knechtle P, Rosemann T, Lepers R

Open Access Journal of Sports Medicine 2011, 2:121-129

Published Date: 22 August 2011

Predictor variables for a half marathon race time in recreational male runners

Rüst CA, Knechtle B, Knechtle P, Barandun U, Lepers R, Rosemann T

Open Access Journal of Sports Medicine 2011, 2:113-119

Published Date: 2 August 2011

Readers of this article also read:

Green synthesis of water-soluble nontoxic polymeric nanocomposites containing silver nanoparticles

Prozorova GF, Pozdnyakov AS, Kuznetsova NP, Korzhova SA, Emel’yanov AI, Ermakova TG, Fadeeva TV, Sosedova LM

International Journal of Nanomedicine 2014, 9:1883-1889

Published Date: 16 April 2014

Methacrylic-based nanogels for the pH-sensitive delivery of 5-Fluorouracil in the colon

Ashwanikumar N, Kumar NA, Nair SA, Kumar GS

International Journal of Nanomedicine 2012, 7:5769-5779

Published Date: 15 November 2012

A novel preparation method for silicone oil nanoemulsions and its application for coating hair with silicone

Hu Z, Liao M, Chen Y, Cai Y, Meng L, Liu Y, Lv N, Liu Z, Yuan W

International Journal of Nanomedicine 2012, 7:5719-5724

Published Date: 12 November 2012

Cross-linked acrylic hydrogel for the controlled delivery of hydrophobic drugs in cancer therapy

Deepa G, Thulasidasan AK, Anto RJ, Pillai JJ, Kumar GS

International Journal of Nanomedicine 2012, 7:4077-4088

Published Date: 27 July 2012

Crystallization after intravitreal ganciclovir injection

Pitipol Choopong, Nattaporn Tesavibul, Nattawut Rodanant

Clinical Ophthalmology 2010, 4:709-711

Published Date: 14 July 2010