Polymyalgia rheumatica Flashcards
1
Q
Presentation
A
Severe pain and stiffness in shoulders, neck and hips
Reduced range of movement due to pain
Sudden onset
Symmetrical
Worse in the morning: stops pt. getting out of bed
No weakness!
Systemic signs: fatigue, fever, wt. loss
2
Q
Associated disease
A
GCA
Mild polyarthritis
Tenosynovitis
Carpal tunnel syndrome
3
Q
Epidemiology
A
> 50yrs old
4
Q
Mx
A
Pred 15mg/d PO: taper according to symptoms and ESR
PPI and alendronate cover (~2yr course usually)
5
Q
Investigations
A
Bloods - raised CRP with normal creatinine kinase
