Abstract
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.
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Aydeniz, A., Altındağ, Ö., Öğüt, E. et al. Late onset spondyloarthropathy mimicking polymyalgia rheumatica. Rheumatol Int 32, 1357–1358 (2012). https://doi.org/10.1007/s00296-010-1394-5
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DOI: https://doi.org/10.1007/s00296-010-1394-5