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Unilateral polymyalgia rheumatica with controlateral sympathetic dystrophy syndrome. A case of asymmetrical involvement due to pre-existing peripheral palsy
Authors:Bordin G  Atzeni F  Bettazzi L  Beyene N B  Carrabba M  Sarzi-Puttini P
Institution:Division of Internal Medicine, San Gerardo University Hospital, Presidio Ospedaliero ‘Bassini’, Cinisello Balsamo, Rheumatology Unit, Luigi Sacco University Hospital Sacco, Milan, Italy
Abstract:SIR, We describe the case of a man with pre-existing peripheralpalsy who developed polymyalgia rheumatica (PMR); he was sparedarthritis in the affected limb but experienced reflex sympatheticdystrophy syndrome (rSDS) in the paretic arm. A 72-year-old man was admitted to our hospital because of nocturnalpain in his right shoulder and the pelvic girdle, with long-lastingmorning stiffness, mild fever and weight loss. The pain in hisbuttocks and thighs was so severe that it limited his abilityto stand and walk. His knee reflex responses
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