Polymyalgia rheumatica Flashcards
1
Q
When does polymyalgia rheumatica present
A
- > 50yrs
- Subacute onset (<2wks)
2
Q
Symptoms of polymyalgia rheumatica
A
- Bilateral aching, tenderness and morning stiffness in shoulders + proximal limb muscles
- +/- Mild polyarthritis, tenosynovitis and carpal tunnel syndrome
May be fatigue, weight loss, depression,
3
Q
Investigations for polymyalgia rheumatica
A
- CRP
- ESR
4
Q
DDx for polymyalgia rheumatica
A
- Recent onset RA
- Polymyositis
- Hypothryroidism
- OA (esp. cervical spondylosis)
- Cancer
5
Q
Rx for polymyalgia rheumatica
A
- Prednisolone 15mg/d po
- Gastric and bone protection (?omeprazole + bisphosphonates?) as most will need >2yrs of steroids
