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Polymyalgia rheumatica.

M D Cohen1, W W Ginsburg

  • 1Division of Rheumatology and Internal Medicine, Mayo Clinic Jacksonville, Florida.

Rheumatic Diseases Clinics of North America
|May 1, 1990
PubMed
Summary
This summary is machine-generated.

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Polymyalgia rheumatica causes pain and stiffness in the elderly. Diagnosis is clinical, and treatment often involves corticosteroids, with most patients responding well.

Area of Science:

  • Rheumatology
  • Geriatrics
  • Clinical Medicine

Background:

  • Polymyalgia rheumatica (PMR) is a common geriatric syndrome.
  • It presents with pain and stiffness in the neck, shoulder, and hip girdles.
  • Etiology is unknown, and pathological findings are minimal.

Purpose of the Study:

  • To review the clinical presentation, diagnosis, and management of polymyalgia rheumatica.
  • To highlight diagnostic challenges and differential diagnoses.
  • To discuss treatment strategies and patient monitoring.

Main Methods:

  • Clinical review of polymyalgia rheumatica.
  • Discussion of diagnostic criteria and differential diagnoses.
  • Overview of treatment options, including corticosteroids.

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Main Results:

  • PMR diagnosis is primarily clinical, relying on symptoms and physical findings.
  • Differential diagnosis includes osteoarthritis, inflammatory myopathies, fibromyalgia, and infections.
  • Low-dose corticosteroids are the mainstay of treatment for most patients.

Conclusions:

  • PMR typically follows a benign course with effective treatment.
  • Careful monitoring and appropriate corticosteroid management are crucial.
  • While corticosteroids are effective, long-term outcomes and alternative treatments require further investigation.