Polymyalgia Rheumatica (PMR) Flashcards
What is it
Inflammatory disorder affecting shoulders, neck and hips
Also considered an autoimmune disorder
Features
Pain
Stiffness in morning - longer than 30 minutes
Bilateral symptoms
Fatigue
Fever
Weight loss
limited ROM
Epidemiology
Common in older adults
0.5% to 1% over 50
More common in Northeron European descent
Woman 2:1
Age
50 and over
On average 70 years old
Risk
HLA-DRB1
Giant cell arthritis (GCA)
Age
Female
Genetics
More common in Northeron Europeans
Presentation
Sudden onset
Stiffness - 30+ minutes
Difficultly with daily activities
Fatigue
Swelling
Prognosis
Good - low dose of corticosteroids - reduce inflammation
Life modifying
Anti inflammatory foods such as turmeric, ginger and omega 3s
Supplements for vitamin and calcium