Fjölvöðvagigt og gagnaugaslagæðabólga : aftursæ rannsókn 1970 til 1984

• Main Authors: Gunnar Gunnarsson, Sigurður Thorlacius, Halldór Steinsen
• Format: Article in Journal/Newspaper
• Language: Icelandic
• Published: Læknafélag Íslands, Læknafélag Reykjavíkur 2010
• Subjects: Fjölvöðvagigt; Gigtarsjúkdómar; Polymyalgia Rheumatica; Iceland; Retrospective Studies; Náð; Smella
• Online Access: http://hdl.handle.net/2336/99957

Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn Skoða/Opna(view/open) Symptoms, signs, laboratory parameters, treatment and fate of all patients, diagnosed as having polymyalgia rheumatica and/or temporal arteritis at Landakotsspitali in Reykjavik during the years 1970 to 1984 were studied retrospectally. A total of 68 patients were diagnosed as having either or both diseases, 39 (57,6%) females and 29 (42,7%) males. Those diseases are diagnosed with increasing frequency in recent years. The sex ratio was found different from most other places where the diseases are 4 to 5 times more common among females than males. 2 patients were diagnosed before the age of 50. 10 patients had had symptoms for less than four weeks at the time of diagnosis. 27,9% had ESR below 50. We propose the following criteria for the diagnosis of polymyalgia rheumatica: Age above 50, symptoms lasting for more than four weeks at the time of diagnosis and ESR above 50 are not valid. A higher percentage of our patients was receiving steroid treatment for more than three years than in most other studies. Those patients in whom temporal arteritis was found did receive steroids for shorter period of time than those having polymyalgia rheumatica but their average maintenance dose was higher and so was their ESR. Polymyalgia rheumatica sem á íslensku hefur verið nefnd fjölvöðvagigt (FVG) og arteritis temporalis eða gagnaugaslagæðabólga (GSB) eru ekki óalgengir gigtsjúkdómar hjá rosknu fólki. Talið er að GSB sé algengari á norðlægum en suðlægum breiddargráðum. GSB er útbreidd hnúðabólga í slagæðum sem leggst fyrst og fremst á greinar hálsslagæðar, oftast í einstaklingum sem náð hafa fimmtugsaldri (1). Í bókum er oft talað um GSB og risafrumuslagæðabólgu sem sama hlutinn en í raun nær hugtakið risafrumuslagæðabólga einnig yfir Takayasu slagæðabólgu, sem sést aðallega í Austurlöndum (2). FVG einkennist af verkjum og morgunstirðleika í nálægum útlimavöðvum og oftast hækkuðu sökki. Sumir telja að einkenni eigi ...