Polymyalgia Rheumatica Flashcards
1
Q
Associated with which condition
A
Giant Cell Arteritis
2
Q
Typical Patient
A
Woman aged 70-80
3
Q
Presentation
A
Bilateral shoulder, Hip, Neck pain and stiffness.
Morning stiffness, lasting more than 30 mins
Fatigue. Malaise, Weight loss
4
Q
Examination
A
Painful shoulder/ Hip
Reduced ROM
Muscle tenderness
Difficulty standing from chair/ Combing hair
5
Q
Investigations
A
Positive CRP, ESR, PV
Take Temporal Artery biopsy if GCA suspected
6
Q
Treatment
A
15mg Prednisolone, usually responds within 5 days. Slowly taper down.
Most require for around 18 months.
If symptoms relapse consider methotrexate
