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PMR and Undifferentiated Spondyloarthropathies
Polymyalgia Rheumatica (PMR) | Last Active: May 18 8:04am | Replies (6)Comment receiving replies
This family of spondyloarthropathies opens the door to connect what seems to be unrelated conditions. I have had hand issues with a debatable diagnosis. Is it pmr? OA? CPPD or combo? At the suggestion of my foot Dr I'm seeing the ortho Dr who's the hand specialist for an issue with my palm that appears to be possible Dupuytren's contracture/disease or Tensosynovitis. I've had episodes of eye inflammation but not uveitis. With every new problem you have to wonder if it's related to existing problems, always trying to connect the dots.
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Polymyalgia rheumatica is a rheumatic autoimmune inflammatory disease that affects the lining of the joints (synovitis) or around the joints (periarthritis). PMR doesn't usually cause joint destruction.
The place where a tendon or ligament meets bone is called an enthesis. Enthesopathy is an umbrella term for conditions that affect these connection points. This is where you will see inflammation in the spondyloarthritis family of diseases. Spondyloarthritis eventually causes joint damage. The defining characteristic of the spondyloarthritis family of diseases is enthesitis.
The synovium of a joint and enthesis are in the same vicinity. This is how PMR and spondyloarthitis are related but still different.
https://pubmed.ncbi.nlm.nih.gov/22751582/#:~:text=In%20healthy%20conditions%2C%20the%20synovium,populations%20and%20the%20ability%20to