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[Manifestations of polymialgia rheumatica in elderly]

Rianne Lindeboom1, Sophia E J A de Rooij, Barbara C van Munster

  • 1Geriatrie Gelre Ziekenhuizen Apeldoorn, thans AIOS Geriatrie Catharina Ziekenhuis Eindhoven, Apeldoorn, Nederland, rianne.lindeboom@cze.nl.

Tijdschrift Voor Gerontologie En Geriatrie
|August 31, 2015
PubMed

Insights

Polymyalgia rheumatica (PMR) diagnosis in elderly patients requires careful consideration of atypical symptoms, especially with comorbidities. Early prednisone treatment for PMR prevents pain medication side effects and mobility loss.

Area of Science:

  • Rheumatology
  • Geriatric Medicine
  • Internal Medicine

Background:

  • Polymyalgia rheumatica (PMR) is an inflammatory condition affecting older adults.
  • Comorbidities in elderly patients can mask or mimic PMR symptoms, complicating diagnosis.

Observation:

  • Presents three case studies of elderly patients with atypical PMR symptoms.
  • Highlights the diagnostic challenge when comorbidities are present.

Findings:

  • Atypical symptoms in the elderly warrant consideration of PMR, even with existing comorbidities.
  • PMR responds rapidly to prednisone treatment.

Implications:

  • Delayed diagnosis of PMR leads to prolonged suffering and potential complications.
  • Early and adequate treatment with prednisone can prevent adverse effects of pain medication and preserve mobility.

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