Abstract
Nearly all patients referred to me with a suggested diagnosis of polymyalgia rheumatica but with a normal ESR have seemingly proven to have early osteoarthritis. Ortiz and Tugwell 1 Ortiz Z Tugwell P Raised ESR in polymyalgia rheumatica no longer a sine qua non?. Lancet. 1996; 348: 4-5 Summary Full Text Full Text PDF PubMed Scopus (11) Google Scholar and Helfgott and Kieval 2 Helfgott S Kieval R Polymyalgia rheumatica in patients with a normal erythrocyte sedimentation rate. Arthritis Rheum. 1996; 39: 304-307 Crossref PubMed Scopus (77) Google Scholar make no mention of osteoarthritis in their exclusion criteria and so presumably they have not considered this possibility in their studies of patients with normal ESR suspected of having polymyalgia.
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