Vasculitis & polymyalgia rheumatica

Immune checkpoint inhibitor-mediated polymyalgia rheumatica versus primary polymyalgia rheumatica: comparison of disease characteristics and treatment requirement

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

Our findings indicate that ICI-PMR may have a milder course with less intense inflammation than primary PMR.

Study context

Population
Patients with ICI-mediated PMR (with cancer) and patients with primary PMR
Participants
15 vs 37
Exposure
ICI-mediated PMR vs primary PMR
  • ICI-PMRn = 15
  • Primary PMRn = 37reference
Outcome
Clinical characteristics, imaging findings and treatment requirements
Methodological detailssingle centre
  • Single centre

Main finding

As reported in the abstract

  • Fulfilled EULAR/ACR classification criteria for PMR: ICI-PMR 66.7% vs primary PMR 97.3%
  • Morning stiffness, weight loss and ESR elevation less frequent in ICI-PMR
  • No differences in inflammatory lesions on US of shoulders and hips
  • Leuven and Leuven/Groningen 18F-FDG-PET/CT scores significantly lower in ICI-PMR
  • ICI-PMR managed with lower GC doses, discontinued more quickly

Observational data: associations, not effects.

Original publication

Immune checkpoint inhibitor-mediated polymyalgia rheumatica versus primary polymyalgia rheumatica: comparison of disease characteristics and treatment requirement. Rheumatology (Oxford). Published 9 February 2024. doi:10.1093/rheumatology/keae099

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.