Polymyalgia Rheumatica Flashcards
1
Q
Polymyalgia Rheumatica Epidemiology
A
- Aged over 50
- More common in women
2
Q
Polymyalgia Rheumatica Aetiology
A
-Unknown
3
Q
Polymyalgia Rheumatica Presentation
A
- Non-specific symptoms
- Suspect if over 50 with bilateral, severe and persistent pain in neck, shoulders and pelvic girdle
- Morning stiffness of more than 45 minutes
- Raised ESR and/or CRP
4
Q
Polymyalgia Rheumatica Differentials
A
- OA, RA
- Spondyloarthropathy
- SLE
- Rotator cuff disease
5
Q
Polymyalgia Rheumatica Investigations
A
- ESR
- FBCs, U&Es, LFTs, CRP, bone profile
- Protein electrophoresis
- RF
- Urinalysis
- USS
6
Q
Polymyalgia Rheumatica Asssociated Diseases
A
-GCA
7
Q
Polymyalgia Rheumatica Management
A
- Glucocorticoids, reducing dose
- Osteoporosis prophylaxis if high dose
- NSAIDS of little value
- Methotrexate can be used
