Polymyalgia Rheumatica Flashcards Preview

Rheumatology > Polymyalgia Rheumatica > Flashcards

Flashcards in Polymyalgia Rheumatica Deck (5)
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1

Px

Often occurs with giant cell arteritis
Subacute onset under 2 wk
Bilat ache, paina nd morn stiff in neck, shoulder, pelvic girdle.
Somet mild polyarth, tenosynovitis, CTS.
No weakness
Somet fatigue, fever, wl, anorexia, dep

2

Ix

High CRP
ESR us over 40 but can be norm
ALP somet high
CK norm

3

Mx

Pos resp to oral CS in 1 wk
Inflamm markers normal in 4 wk.
Prednisolone, slowly reduc dose. Often req for over 2yr.
Mx OP risk.

4

diffs

RA
Polymyositis
Hypothyr
Prim musc dis
Occult malig or infec
OA
Neck lesions
Subacromial impingem
Spinal stenosis

5

complics

Giant cell arteritis
Steroid s/e