Polymyalgia rheumatica Flashcards
1
Q
Which condition is associated with polymyalgia rheumatica?
A
Giant cell arteritis
2
Q
List two clinical features of polymyalgia rheumatica (PMR)
A
morning pain and stiffness
bilateral
3
Q
Name two daily activities that someone with PMR will find difficult
A
standing from seated position
getting out of bed
raising arms- brushing hair, washing face
4
Q
Two systemic signs of PMR?
A
fever depression fatigue anorexia weight loss
5
Q
What is the distribution of pain in patient with PMR
A
bilateral shoulder or pelvic girdle pain
6
Q
List three criteria for diagnosis of PMR
A
Bilateral shoulder or pelvic girdle pain Morning stiffness >45 minutes Age >50 years Duration of symptoms >2 weeks Evidence of inflammation (raised CRP or ESR)
7
Q
Three differentials for PMR?
A
Fibromyalgia RA SLE Dermatomyositis Malignancy AS Psoriatic arthritis Hypothryoidism
8
Q
What is the treatment of PMR?
A
steroids
9
Q
Three investigations for PMR?
A
Standard bloods TFTs CK Rh ANA CRP
