To evaluate in a primary care setting the favoring and confounding factors for the diagnosis of polymyalgia rheumatica PMR. Among patients consecutively referred by their general practitioners GPs to our rheumatologic outpatient clinic, we identified three groups: group A — patients with confirmed diagnosis of PMR, group B — patients with unconfirmed diagnosis, group C — patients with unrecognized PMR. All the diagnostic confounding and favoring factors were discussed with GPs using an e-mail questionnaire. Participation in rheumatology training courses represented the final question. The collected data were statistically assessed in a blind way. Every patient signed an informed consent form at the time of the first visit.
|Published (Last):||17 March 2011|
|PDF File Size:||13.3 Mb|
|ePub File Size:||11.69 Mb|
|Price:||Free* [*Free Regsitration Required]|
Polymyalgia rheumatica is an inflammatory disorder that causes muscle pain and stiffness in various parts of the body. It most commonly affects the:. Polymyalgia rheumatica typically affects people over age It rarely develops in those under age Polymyalgia rheumatica is also more likely to occur in women than in men. People of Northern European and Scandinavian descent are at a higher risk for the condition as well. Some people with polymyalgia rheumatica are also diagnosed with a related disorder called temporal arteritis.
This condition causes inflammation of the blood vessels in the scalp, neck, and arms. Temporal arteritis can also cause headaches , jaw pain , and vision problems. Pain and stiffness in the neck and shoulders are the most common symptoms of polymyalgia rheumatica.
The pain and stiffness may gradually spread to other areas, such as the shoulders, hips, and thighs. These symptoms usually affect both sides of the body. The symptoms of polymyalgia rheumatica develop quickly, usually over several days. In some cases, the symptoms may appear overnight. They tend to be worse in the morning and gradually improve throughout the day.
For some people, being inactive and remaining in one position for a long period of time can make symptoms worse. The pain and stiffness may eventually become so severe that people have difficulty performing everyday activities, such as standing up from the couch, getting dressed, or getting into a car.
Sometimes, the symptoms of polymyalgia rheumatica can even make it difficult to fall sleep. Environmental factors may also play a role in the development of the disorder. New cases of polymyalgia rheumatic are often diagnosed in cycles and usually occur seasonally.
This suggests that there may be an environmental trigger, such as a viral infection, that causes the condition. The rapid onset of symptoms also suggests that polymyalgia rheumatica may be caused by an infection. However, no such link has been found. The symptoms of polymyalgia rheumatica can be similar to those of other inflammatory conditions, including lupus and arthritis.
To make an accurate diagnosis, your doctor will perform a physical exam and run several tests to check for inflammation and blood abnormalities. During the exam, your doctor may gently move your neck, arms, and legs to evaluate your range of motion. If polymyalgia rheumatica is suspected, they may order blood tests to check for signs of inflammation in your body. These tests will measure your erythrocyte sedimentation rate and C-reactive protein levels.
An abnormally high sedimentation rate and elevated C-reactive protein levels usually are suggestive of inflammation. Your doctor may also schedule an ultrasound to check for inflammation in your joints and tissues. An ultrasound uses high-frequency sound waves to create detailed images of the soft tissue in different parts of the body.
This can be very helpful in distinguishing polymyalgia rheumatica from other conditions that cause similar symptoms. This biopsy is a simple, low-risk procedure that involves the removal of a small sample of tissue from an artery in your temple. The sample is sent to a laboratory and analyzed for signs of inflammation. A biopsy is only necessary if your doctor suspects inflammation in the blood vessels.
With the proper treatment, however, symptoms can improve in as little as 24 to 48 hours. Your doctor will prescribe a low-dose corticosteroid, such as prednisone, to help reduce inflammation.
The typical dosage is 10 to 30 milligrams per day. Although corticosteroids are effective in treating polymyalgia rheumatica, these drugs do have side effects. Long-term use of these medications increases your risk of:.
To reduce your risk of having any side effects during treatment, your doctor may recommend that you take a daily calcium and vitamin D supplement. Your doctor may also suggest physical therapy to help improve your strength and increase your range of motion. Shop for calcium supplements.
Shop for vitamin D supplements. Making healthy lifestyle choices can also help reduce the side effects of corticosteroids. Eating a healthy diet and limiting your salt intake can help prevent high blood pressure. Regular exercise can help strengthen your bones and muscles and prevent weight gain. Your doctor will carefully monitor your health during treatment.
They may periodically order blood tests to check your cholesterol and blood sugar levels , recommend annual eye exams , and schedule periodic bone density tests to check for signs of osteoporosis.
Your doctor might also reduce your dosage after three or four weeks of treatment if your symptoms are improving. In this case, your doctor will run additional tests to check for other rheumatic disorders, such as osteoarthritis and rheumatic fever. Polymyalgia rheumatica symptoms can interfere with everyday activities, especially if the condition goes untreated. Without appropriate treatment, the pain and stiffness can severely reduce mobility.
You may eventually become unable to complete simple tasks on your own, such as bathing, getting dressed, and combing your hair. Some people also experience a temporary loss of joint function. This increases the risk of developing lingering joint problems, such as frozen shoulder.
People with polymyalgia rheumatica are also more likely to develop peripheral artery disease. This condition impairs blood circulation and often causes leg pain and ulcers. However, polymyalgia rheumatica often improves once treatment is received. In fact, the condition typically goes away after two to six years of treatment. Temporal arteritis is a condition in which the temporal arteries, which supply blood to the head and brain, become inflamed or damaged.
It usually…. Fibromyalgia is more common in women than men, and symptoms affect women differently. Learn about these unique symptoms and how to treat them. Learn about 6 possible causes of stiff joints, how you can treat the condition, and when to see your doctor. Rheumatic fever is a complication of strep throat. If left untreated, it can cause permanent damage to the heart. The condition usually appears in….
When you have multiple sclerosis MS , your immune system attacks your nerves. Nerve damage can leave your muscles stiff or weak, reducing your…. Suffering from depression on a regular basis and for weeks at a time is a sign that you need to seek professional help.
Talk to your doctor. Muscle relaxers, or relaxants, are drugs that can help relieve the pain and discomfort from muscle cramps and spasticity.
We explain the different…. This occurs…. Osteoporosis is a bone disease that causes a loss of bone density, which increases your risk of fractures. Learn about its causes, risk factors, and…. If you are one of those who regularly suffers from headaches, here are 18 natural remedies to help you get rid of them. Symptoms Causes Diagnosis Treatments Complications Outlook If you buy something through a link on this page, we may earn a small commission.
How this works. What Is Polymyalgia Rheumatica? What Are the Symptoms of Polymyalgia Rheumatica? What Causes Polymyalgia Rheumatica? How Is Polymyalgia Rheumatica Diagnosed? How Is Polymyalgia Rheumatica Treated? What Are the Complications of Polymyalgia Rheumatica? Rheumatic Fever. Managing Multiple Sclerosis Muscle Weakness. Read this next. Symptoms of Depression. Medically reviewed by George Krucik, MD. Muscle Strains. Medically reviewed by William Morrison, MD.
Published studies are primarily clinical and epidemiological research but also basic. CiteScore measures average citations received per document published. Read more. SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. To examine the main clinical and laboratory data of patients initially diagnosed with polymyalgia rheumatica PMR , which then developed another conditions..
Polymyalgia rheumatica PMR is a syndrome with pain or stiffness, usually in the neck , shoulders , upper arms, and hips , but which may occur all over the body. The pain can be very sudden, or can occur gradually over a period. Most people with PMR wake up in the morning with pain in their muscles ; however, cases have occurred in which the person has developed the pain during the evenings or has pain and stiffness all day long. People who have polymyalgia rheumatica may also have temporal arteritis , an inflammation of blood vessels in the face which can cause blindness if not treated quickly. Polymyalgia rheumatica is often seen in association with temporal arteritis. PMR is usually treated with corticosteroids taken by mouth.
Polymyalgia rheumatica is an inflammatory disorder that causes muscle pain and stiffness, especially in the shoulders. Signs and symptoms of polymyalgia rheumatica pol-e-my-AL-juh rue-MAT-ih-kuh usually begin quickly and are worse in the morning. Most people who develop polymyalgia rheumatica are older than It rarely affects people under This condition is related to another inflammatory called giant cell arteritis. Giant cell arteritis can cause headaches, vision difficulties, jaw pain and scalp tenderness. It's possible to have both conditions together.