Polymyalgia Rheumatica Flashcards
1
Q
Px
A
Often occurs with giant cell arteritis Subacute onset under 2 wk Bilat ache, paina nd morn stiff in neck, shoulder, pelvic girdle. Somet mild polyarth, tenosynovitis, CTS. No weakness Somet fatigue, fever, wl, anorexia, dep
2
Q
Ix
A
High CRP
ESR us over 40 but can be norm
ALP somet high
CK norm
3
Q
Mx
A
Pos resp to oral CS in 1 wk
Inflamm markers normal in 4 wk.
Prednisolone, slowly reduc dose. Often req for over 2yr.
Mx OP risk.
4
Q
diffs
A
RA Polymyositis Hypothyr Prim musc dis Occult malig or infec OA Neck lesions Subacromial impingem Spinal stenosis
5
Q
complics
A
Giant cell arteritis
Steroid s/e
