Polymyalgia Rheumatica Flashcards
1
Q
What is it?
A
Inflammatory condition in elderly women
2
Q
What is it related to?
A
GCA
3
Q
What is the typical presentation?
A
70 y/o woman presents with sudden onset of severe shoulder pain and pelvic girdle that is worse in the morning. She can’t get out of her chair.
4
Q
Why can’t the patient get out of a chair?
A
PMR causes proximal muscle weakness
5
Q
Systemic symptoms?
A
Malaise Anaemia Fever Weight loss Depression
ARTHRALGIA
6
Q
Investigations?
A
Bloods
7
Q
What is diagnostic on blood findings?
A
ESR >50
8
Q
What is diagnostic treatment wise?
A
If they get better on steroids it was PMR not MM
9
Q
1st line treatment?
A
Prednisolone w/ bone prophylaxis
10
Q
What should happen to the ESR with prednisolone treatment?
A
Should normalise in 4 weeks
11
Q
2nd line treatment?
A
Methotrexate
12
Q
3rd line treatment?
A
Tocilizumab
13
Q
What is tocilizumab?
A
IL-6 receptor MAB
