Polymyalgia Rheumatica: Pitfalls in Diagnosis

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Diagnosis and management of polymyalgia rheumatica.

Polymyalgia rheumatica (PMR) is a common inflammatory condition of unknown aetiology with a prevalence of 1 in 133 in the over 50s, and a female to male ratio of 2:1. Symptoms develop over a matter of weeks; typically bilateral shoulder or pelvic girdle pain and stiffness, that is worse in the mornings. Associated symptoms include low-grade fever, malaise, fatigue, low mood, poor appetite, and ...

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Subclinical vasculitis in polymyalgia rheumatica.

Polymyalgia rheumatica (PMR) is an inflammatory condition of the aging population characterised by pain, stiVness, and symmetrical involvement of shoulder and pelvic girdles. It has been proposed that the primary site of disease may reside outside the synovial joint, 2 but its aetiopathogenesis remains ill understood. There is good indirect evidence that vasculitis is important in the pathogene...

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Polymyalgia rheumatica: diagnosis, prescribing, and monitoring in general practice

BACKGROUND Polymyalgia rheumatica (PMR) is a common rheumatological disorder of older patients. The majority of UK patients are diagnosed and managed exclusively in general practice. In primary care, it has been shown that there is wide variation in practice, and established diagnostic criteria are infrequently used. AIM This study aims to investigate the diagnostic processes, management, and...

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Update on polymyalgia rheumatica.

Polymyalgia rheumatica is an inflammatory disease of unknown etiology affecting individuals aged fifty years and older, mainly of Caucasian ethnicity. Polymyalgia rheumatica is associated with giant cell arteritis more frequently than expected by chance alone. In both conditions, females are affected two to three times more often than males. The clinical hallmark manifestations of polymyalgia r...

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Polymyositis, not polymyalgia rheumatica.

The distinction between polymyalgia rheumatica and polymyositis is important for treatment and prognosis. Four elderly patients were diagnosed and treated for polymyalgia: raised creatine kinase led to muscle biopsy and a diagnosis of polymyositis.

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ژورنال

عنوان ژورنال: Journal of the Royal Society of Medicine

سال: 2001

ISSN: 0141-0768,1758-1095

DOI: 10.1177/014107680109400513