All::Rheumatology::Diseases::Polymyalgia rheumatica
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What is Polymyalgia Rheumatica (PMR)?
PMR is a common condition in older people characterized by muscle stiffness and elevated inflammatory markers, closely related to temporal arteritis.
Polymyalgia rheumaticaWhat age group is typically affected by PMR?
Patients are typically over 60 years old.
Polymyalgia rheumaticaWhat are the key features of PMR?
Rapid onset (e.g., < 1 month), aching, morning stiffness in proximal limb muscles, mild polyarthralgia, lethargy, depression, low-grade fever, anorexia, night sweats.
Polymyalgia rheumaticaWhat investigations are relevant for PMR diagnosis?
Elevated inflammatory markers (e.g., ESR > 40 mm/hr), normal creatine kinase, and EMG.
Polymyalgia rheumaticaHow is PMR treated?
Prednisolone (e.g., 15mg/od) is the primary treatment. Patients typically respond dramatically, and failure to do so should prompt consideration of an alternative diagnosis.
Polymyalgia rheumatica