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POLYMYALGIA RHEUMATICA-HISTORY

Rheumatology

POLYMYALGIA RHEUMATICA-HISTORY

1. Polymyalgia rheumatica (PMR) is a clinical syndrome that is classically associated with giant cell arteritis and may be a milder manifestation of the same disease.

2. 20% of PMR patients develop GCA. Conversely, in those with GCA, 50% also have symptoms of PMR or have already been diagnosed with PMR.

3. Think of PMR in the older patient with a history of profound morning stiffness, bilateral shoulder girdle and hip aching, and hand swelling (mimicking RA).

4. Remember: PMR pain is out of proportion to exam findings.

5. PMR is distinguished from polymyositis by the absence of objective weakness.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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