SPONDYLOARTHROPATHY PRESENTING AS A POLYMYALGIA RHEUMATICA-LIKE SYNDROME

Two female patients, aged 57 and 58 year-old presented with pain and s tiffness in shoulder and/or pelvic girdles and a high ESR, suggesting polymyalgia rheumatica (PMR). The lack of response to low dose of ster oids prompted us to reconsider this diagnosis and, after a careful eva luation and taking into account past clinical history, a final diagnos is of spondyloarthropathy (SpA) was made, The clinical spectrum of lat e SpA is heterogeneous, and in some instances may present as a polymya lgia-like syndrome.