Polymyalgia Rheumatica Flashcards
1
Q
Who does polymyalgia rheumatica effect?
A
elderly individuals (very rare under 50)
2
Q
What characterises polymaglia rheumatica?
A
Proximal myalgia of the hip and shoulder girdles
Morning stiffness lasting more than one hour
Symptoms improve with movement
3
Q
What is the connection between polymyalgia rheumatica and giant cell arteritis?
A
15% PMR patients develop GCA
40-50% GCA patients have associated PMR
4
Q
How is polymyalgia rheumatica diagnosed?
A
Always associated with raised CSR and PV/ESR
5
Q
What is used as a diagnostic tool for PMR?
A
Symptomatic response to low dose steroids (15mg daily)
6
Q
How is PMR treated?
A
Prednisolone dose is reduced over 18 months
resolved by this time
