Polymyalgia Rheumatica

Polymyalgia Rheumatica is a topic covered in the Washington Manual of Medical Therapeutics.

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Diagnosis

Clinical Presentation

Polymyalgia rheumatica (PMR) presents in elderly patients as proximal limb girdle pain, morning stiffness lasting at least 30 minutes, and constitutional symptoms. It is associated with temporal arteritis (TA) in up to 40% of patients (see Table 25-1).

Diagnostic Testing

  • There is no established diagnostic criterion. The diagnosis remains clinical.
  • The erythrocyte sedimentation rate (ESR) is >50 mm/h.

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Diagnosis

Clinical Presentation

Polymyalgia rheumatica (PMR) presents in elderly patients as proximal limb girdle pain, morning stiffness lasting at least 30 minutes, and constitutional symptoms. It is associated with temporal arteritis (TA) in up to 40% of patients (see Table 25-1).

Diagnostic Testing

  • There is no established diagnostic criterion. The diagnosis remains clinical.
  • The erythrocyte sedimentation rate (ESR) is >50 mm/h.

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