Polymyalgia rheumatica: Clinical features and management

Research output: Contribution to journalArticle

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Abstract

Polymyalgia rheumatica is a common chronic condition mainly seen in older patients that is characterized by pain and stiffness in proximal muscle regions and an increased ESR. Polymyalgia rheumatica is closely related to GCA and is often present in patients with GCA. Polymyalgia rheumatica and GCA are pathogenetically similar and likely represent different manifestations of the same underlying process. Polymyalgia rheumatica typically responds promptly to treatment with low doses of corticosteroids. Temporal artery biopsy is not necessary in most patients with PMR but should be obtained if any symptoms or signs of GCA are present. Finding arteritis on a temporal artery biopsy obligates treatment with higher doses of corticosteroids to prevent complications of GCA. Although other agents have been used to try to allow lower corticosteroid doses and mitigate against potential steroid-induced side effects, no other medication has been shown clearly to be effective in this regard. Patients with PMR require long-term follow-up for possible late complications of the disease or its treatment.

Original languageEnglish (US)
Pages (from-to)89-95
Number of pages7
JournalPrimary Care Case Reviews
Volume4
Issue number2
StatePublished - 2001

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Polymyalgia Rheumatica
Temporal Arteries
Adrenal Cortex Hormones
Biopsy
Arteritis
Signs and Symptoms
Therapeutics
Steroids
Pain
Muscles

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Polymyalgia rheumatica : Clinical features and management. / Ytterberg, Steven R.

In: Primary Care Case Reviews, Vol. 4, No. 2, 2001, p. 89-95.

Research output: Contribution to journalArticle

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