Evidence map›Paper›PMID 41195412›Full record

ArticleCureus2025

Polymyalgia Rheumatica Mimicking Infection and Malignancy: A Diagnostic Challenge Ruled Out by PET-CT.

May Wathan Aung, Batsi Chikura, Sally Mubarak, Khin Lei Lei Aung, Farooq Ahmad, Htet Su Win

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

May Wathan AungGeneral Internal Medicine, United Lincolnshire Hospitals NHS Trust, Lincoln, GBR.
Batsi ChikuraRheumatology, United Lincolnshire Hospitals NHS Trust, Lincoln, GBR.
Sally MubarakRadiology, United Lincolnshire Hospitals NHS Trust, Lincoln, GBR.
Khin Lei Lei AungRheumatology, United Lincolnshire Hospitals NHS Trust, Lincoln, GBR.
Farooq AhmadMedicine, Grantham and District Hospital, Lincoln, GBR.
Htet Su WinGeneral Internal Medicine, United Lincolnshire Hospitals NHS Trust, Lincoln, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polymyalgia rheumatica (PMR) is an inflammatory disorder affecting older adults, typically presenting with pain and stiffness in the shoulder and pelvic girdle. The clinical features may overlap with infection or malignancy, often leading to delayed treatment and extensive, sometimes unnecessary, investigations. We present a case of an elderly patient with prolonged shoulder pain and elevated inflammatory markers who underwent a comprehensive evaluation. MRI of the shoulder and PET-CT were performed to exclude alternative diagnoses. The imaging findings, combined with the clinical presentation and a rapid response to corticosteroid therapy, confirmed the diagnosis of PMR. This case underscores the pivotal role of PET-CT in the diagnostic workup of atypical PMR, facilitating the exclusion of sinister pathologies such as malignancy or infection, guiding clinical decision-making, and reducing the need for unnecessary invasive investigations.

Indexed as

atypical presentationdifferential diagnosisinfectionmalignancypet-ctpolymyalgia rheumatica

Identifiers

PMID41195412
PMCPMC12585919

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.