Healio Rheuminations

History of polymyalgia rheumatica: The origin of the pain & link to giant cell arteritis


Listen Later

In this episode, we dive into the history of polymyalgia rheumatica, how it was discovered and its link to giant cell arteritis.

  • Intro 0:01
  • In this episode 0:10
  • What is polymyalgia rheumatica (PMR)? 0:24
  • The history of PMR 02:12
  • PMR in the 1950s: A formally recognized disease 04:52
  • What was probably PMR in the 1880s 06:27
  • Naming PMR: Senile rheumatic gout 07:26
  • 1957: The witch's shot and finally landing on polymyalgia rheumatica 08:30
  • Where is PMR coming from? 14:42
  • Injecting joins with saline 16:39
  • A biopsy study in 1964 19:54
  • Technetium bone scintigraphy in 1971 and bone scan history 23:01
  • First look at a PMR ultrasound in 1993 27:00
  • 1997: First use of MRI on PMR patients in Italy 27:49
  • Going back to 1962: PMRs association with giant cell arteritis 30:40
  • A paper on muscular involvement in giant cell arteritis: 80-year-old 'robust' partially blind seaman 32:15
  • First systematic approach: The link between PMR and giant cell arteritis 35:14
  • 80 cases of PMR 38:13
  • Swedish autopsy studies 41:07
  • Introduction of advanced imaging in the 1990s 42:40
  • Summing up PMR through the decades 43:28
  • That is the end! 45:25
  • Thanks for listening 45:50

We'd love to hear from you! Send your comments/questions to Dr. Brown at [email protected]. Follow us on Twitter @HRheuminations @AdamJBrownMD @HealioRheum.

References: Bruk MI. Ann Rheum Dis. 1967;doi:10.1136/ard.26.2.103. Cantini F, et al. J Rheumatol. 2001;28(5):1049-55. De Miguel E, et al. Rheumatology (Oxford). 2024;doi:10.1093/rheumatology/kead189. Dixon AS, et al. Ann Rheum Dis. 1966;doi:10.1136/ard.25.3.203. Hamrin B, et al. Ann Rheum Dis. 1968;doi:10.1136/ard.27.5.397. Salvarani C, et al. Ann Intern Med. 1997;doi:10.7326/0003-4819-127-1-199707010-00005. Shah S, et al. Rheumatology (Oxford). 2025;doi:10.1093/rheumatology/keae569.

Disclosures: Brown reports no relevant financial disclosures.

...more
View all episodesView all episodes
Download on the App Store

Healio RheuminationsBy Adam J. Brown, MD

  • 4.8
  • 4.8
  • 4.8
  • 4.8
  • 4.8

4.8

118 ratings


More shows like Healio Rheuminations

View all
NEJM This Week by NEJM Group

NEJM This Week

324 Listeners

JAMA Clinical Reviews by JAMA Network

JAMA Clinical Reviews

498 Listeners

Neurology® Podcast by American Academy of Neurology

Neurology® Podcast

298 Listeners

Mayo Clinic Talks by Mayo Clinic

Mayo Clinic Talks

297 Listeners

Rheumnow Podcast by Dr. Cush

Rheumnow Podcast

131 Listeners

The Curbsiders Internal Medicine Podcast by The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

3,357 Listeners

Core IM | Internal Medicine Podcast by Core IM Team

Core IM | Internal Medicine Podcast

1,144 Listeners

The Evidence Based Rheumatology Podcast by Michael Putman

The Evidence Based Rheumatology Podcast

115 Listeners

Eye Care Out Loud by Darrell White

Eye Care Out Loud

9 Listeners

The Clinical Problem Solvers by The Clinical Problem Solvers

The Clinical Problem Solvers

515 Listeners

Gut Talk by Sameer K. Berry, MD, and William D. Chey, MD

Gut Talk

31 Listeners

ACR on Air by American College of Rheumatology

ACR on Air

68 Listeners

GPnotebook Podcast by GPnotebook

GPnotebook Podcast

21 Listeners

Unmasking COVID-19 by Healio

Unmasking COVID-19

30 Listeners

Meeting Mic by Healio

Meeting Mic

5 Listeners

Oncology Overdrive by Shikha Jain, MD

Oncology Overdrive

15 Listeners

The Curious Clinicians by The Curious Clinicians

The Curious Clinicians

374 Listeners

Rheumatology For The Royal College by Dr. Karim Ladak

Rheumatology For The Royal College

183 Listeners

Eye Care Insider by Joshua Mali, MD

Eye Care Insider

5 Listeners

Vital Capacity by Abhishek Bhardwaj, MD

Vital Capacity

13 Listeners

Mend the Gap: Equity in Medicine by Healio

Mend the Gap: Equity in Medicine

6 Listeners

ACR Journals On Air by American College of Rheumatology

ACR Journals On Air

18 Listeners

Talking Rheumatology Spotlight by British Society for Rheumatology

Talking Rheumatology Spotlight

6 Listeners

Eyeluminaries by John Hovanesian, MD, FACS and Jim Mazzo

Eyeluminaries

5 Listeners