polymyalgia rheumatica

Question 1

Typical age of patient

Answer 1

> 60 years old

Question 2

Timing of onset

Answer 2

usually rapid onset (e.g. < 1 month)

Question 3

Clinical features

Answer 3

aching
morning stiffness in proximal limb muscles
mild polyarthralgia
lethargy
depression
low-grade fever
anorexia
night sweats

Question 4

Investigation findings in Polymyalgia

Answer 4

raised inflammatory markers
raised creatine kinase
EMG normal

Question 5

Treatment

Answer 5

prednisolone e.g. 15mg/od