Abstract ARTERIAL insufficiency with intermittent claudication may occur in a number of conditions. We report a case in which intermittent claudication developed in both calves secondary to arteritis of the major arteries of the legs in a woman who had the clinical syndrome of polymyalgia rheumatica. Report of a Case Initial Findings. —A 51-year-old married white woman was seen at the Mayo Clinic for the first time on Nov 24, 1964, with complaints of stiffness and aching in her neck, shoulders, dorsal paraspinal muscles, and middle anterior chest region and also transient myalgia of the pelvic girdle muscles. The anterior chest pain was worse with deep inspiration and coughing. All symptoms were worse in the morning and were aggravated by motion; by afternoon the aching usually abated somewhat. Her symptoms had been present for one month and had begun shortly after surgical removal of a benign ovarian cyst (at another institution). References 1. Friou, G.J.: Fluorescent Spot Test for Anti-nuclear Antibodies , Arthritis Rheum 5:407-410 ( (Aug) ) 1962.Crossref 2. Judge, R.D., et al: Takayasu's Arteritis and the Aortic Arch Syndrome , Amer J Med 32:379-392 ( (March) ) 1962.Crossref 3. Hirsch, M.S.; Aikat, B.K.; and Basu, A.K.: Takayasu's Arteritis: Report of Five Cases With Immunologic Studies , Bull Hopkins Hosp 115:29-64, 1964. 4. Sandring, H., and Welin, G.: Aortic Arch Syndrome With Special Reference to Rheumatoid Arteritis , Acta Med Scand 170:1-19, 1961.Crossref 5. Klemperer, P.; Pollack, A.D.; and Baehr, G.: Pathology of Disseminated Lupus Erythematosus , Arch Path 32:569-631 ( (Oct) ) 1941. 6. Gardner, D.L.: Pathology of the Connective Tissue Diseases , Baltimore: Williams & Wilkins Co. 1965. 7. Bywaters, E.G.L.: Peripheral Vascular Obstruction in Rheumatoid Arthritis and Its Relationship to Other Vascular Lesions , Ann Rheum Dis 16:84-103 ( (March) ) 1957.Crossref 8. Barber, H.S.: Myalgic Syndrome With Constitutional Effects: Polymyalgia Rheumatica , Ann Rheum Dis 16:230-237 ( (June) ) 1957.Crossref 9. Slocumb, C.H.: Differential Diagnosis of Periarticular Fibrositis and Arthritis , J Lab Clin Med 22:56-61 ( (Oct) ) 1936. 10. Meulengracht, E., and Schwartz, M.: The Course and Prognosis of Periarthrosis Humeroscapularis With Special Regard to Cases With General Symptoms , Acta Med Scand 143:350-360, 1952.Crossref 11. Hoist, J.E., and Johansen, E.: A Special Type of "Rheumatic" Disease , Acta Med Scand 122:258-270, 1945. 12. Bagratuni, L.: Anarthritic Rheumatoid Disease , Lancet 2:694-697 ( (Oct 6) ) 1956.Crossref 13. Forestier, J., and Certonciny, A.: Pseudopolyarthrite Rhizomélique , Rev Rhum 20:854-862 ( (Dec) ) 1953. 14. Andrews, F.M.: Polymyalgia Rheumatica: A Biopsy Follow-Up Study , Ann Rheum Dis 24:432-438 ( (Sept) ) 1965.Crossref 15. Hamrin, B.; Jonsson, N.; and Landberg, T.: Arteritis in "Polymyalgia Rheumatica," Lancet 1:397-401 ( (Feb 22) ) 1964.Crossref 16. Hench, P.K., et al: Clinical Study of the Rheumatic Manifestations of Lymphoma, abstracted , Arthritis Rheum 5:301, 1962.
Archives of Internal Medicine – American Medical Association
Published: Jun 1, 1967