Muscle diseases Flashcards
What is the key feature of inflammatory myopathies?
Muscle weakness
What is the key feature of polymyalgia rheumatica?
Pain and stiffness
What is the key feature of fibromyalgia?
Pain and fatigue
Who is typically affected by polymyositis and dermatomyositis?
Females aged 40-50
What is the clinical presentation of inflammatory myopathies?
Muscle weakness
Insidious onset
Symmetrical, proximal muscles
Sometimes myalgia
Skin involvement in dermatomyositis
What is the treatment for inflammatory myopathies?
Corticosteroids
Immunosuppression
Who is typically affected by polymyalgia rheumatica?
People over the age of 50
What are the clinical features of polymyalgia rheumatica?
Ache in the shoulder and hip girdle
Morning stiffness
Usually symmetrical
Fatigue
Anorexia
Weight loss
Fever
NORMAL MUSCLE STRENGTH
What is the treatment for polymyalgia rheumatica?
Low dose steroids with gradual reduction in dose over 18 months - 2 years
Who is typically affected by fibromyalgia?
Females
22-50 years old
May begin after an emotional or physical trauma
What are the clinical features of fibromyalgia?
Loads of symptoms that have been going on for at least 3 months and cannot be explained by another condition
What is the treatment for fibromyalgia?
Patient education
Graded exercise programme
CBT
Anti-depressants
Analgaesia
