In late February 2011, a 68-year-old woman visited the rheumatology outpatient clinic. She had been congenitally healthy and had been a field athlete in her early days. Beginning in early January 2011, she became aware of pain in her neck and both shoulders, with pain spreading to her lower back and thighs. She also became aware of general malaise, fever and weight reduction, with difficulties in walking unassisted and changing clothes. Her inflammatory response was at a high level, and her creatinine kinase was within the normal range; further, her rheumatoid factors were negative. Therefore, I diagnosed her as having polymyalgia rheumatica (PMR), initiated administration of 20 mg of prednisolone and instructed her to visit the clinic again in two weeks.
Explore this issueJuly 2015
Her symptoms improved dramatically after administration of prednisolone, and her ability to walk returned on the second day after administration. Her symptoms continued to improve over the first week, and she regained the ability to run.
The Great East Japan Earthquake occurred on the 10th day postadministration and a tidal wave (tsunami) hit her residence. She was with her 1-year-old grandchild at home on the day of the earthquake. She noticed the tsunami approaching and ran with her whole energy, holding her grandchild in her arms. Her house was swallowed up by the tsunami; she was able to avoid it by ascending stairs.