Polymyalgia rheumatica

Posted by e-Medical PPT
Polymyalgia rheumatica is a syndrome with pain or stiffness, usually in the neck, shoulders, and hips. The pain can be very sudden, or can occur gradually over a period of time. It may be caused by an inflammatory condition of blood vessels, muscle biopsies however are normal.Patients who have polymyalgia rheumatica may also have temporal arteritis, a potentially dangerous inflammation of blood vessels in the face.
The classic symptoms include:
    * Pain and stiffness (moderate to severe) in the neck, shoulders, and hips, which inhibits activity, especially in the morning/after sleeping.
    * Fatigue and lack of appetite
    * Anemia
    * Mild fever
There is no specific test to diagnose polymyalgia rheumatica. There are many other diseases which cause inflammation and pain in muscles, but there are a few tests that can help narrow down the cause of the pain.
Prednisone is the drug of choice for PMR and treatment duration is frequently greater than one year.

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