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Related Experiment Videos

Polymyalgia rheumatica and temporal arthritis.

T D Epperly1, K E Moore, J D Harrover

  • 1Department of Family and Community Medicine, Eisenhower Army Medical Center, Fort Gordon, Georgia 30905-5650, USA.

American Family Physician
|September 2, 2000
PubMed
Summary

Polymyalgia rheumatica and temporal arteritis are related inflammatory conditions. Early diagnosis and corticosteroid treatment rapidly improve patient function and quality of life.

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Area of Science:

  • Rheumatology
  • Internal Medicine

Background:

  • Polymyalgia rheumatica (PMR) and temporal arteritis (TA) are closely related inflammatory conditions affecting genetically predisposed individuals.
  • PMR is more common, particularly in those over 50, while TA poses a greater risk, including potential blindness.

Observation:

  • PMR diagnosis involves fever, somatic complaints, girdle pain/stiffness, and elevated erythrocyte sedimentation rate (ESR).
  • TA shares PMR symptoms but adds headaches and arterial tenderness; arterial biopsy confirms TA.

Findings:

  • Corticosteroid therapy offers rapid and significant improvement for both PMR and TA.
  • Treatment duration typically ranges from six to 24 months, with ongoing clinical assessment.

Implications:

  • Early diagnosis and prompt corticosteroid treatment are crucial for restoring patients' functional status.
  • Patients must monitor for symptom recurrence or new symptoms like headache, jaw claudication, or visual disturbances.

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