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'''For patient information click [[Polymyalgia rheumatica (patient information)|here]]'''


'''For the WikiDoc page for this topic, click [[Polymyalgia rheumatica|here]]'''
{{Polymyalgia rheumatica}}
{{CMG}}; {{AE}} {{CZ}}, Ujjwal Rastogi, MBBS [mailto:urastogi@perfuse.org], {{Rim}}, {{AEL}}


'''Editors-in-Chief:''' [[C. Michael Gibson, M.S., M.D.]];
{{SK}} Anarthritic Syndrome, Arthritic Rheumatoid Disease, Polymyalgia, PMR
'''Associate Editor-In-Chief''': [[User:Ujjwal Rastogi|Ujjwal Rastogi, MBBS]] [mailto:urastogi@perfuse.org]


==Overview==
==[[Polymyalgia rheumatica overview|Overview]]==
Myalgia means pain and Rheumatica refers to muscles, joints, or fibrous tissue. Polymyalgia rheumatica is an inflammatory condition causing pain and stiffness in shoulder, neck and hips.


==What are the symptoms of Polymyalgia rheumatica?==
==[[Polymyalgia rheumatica historical perspective|Historical Perspective]]==
The patient can complain of
*[[Pain]] and stiffness in the proximal muscles that usually occurs on both sides and worse in the morning
* Stiffness after prolong activity i.e. Gel phenomenon
*[[Fever]] (low grade)
* Weight loss
* Depression
*[[Fatigue]]
*No weakness


It may coexist with another inflammatory disorder called [[giant cell arteritis]], which can cause headaches, visual impairment, jaw pain and other symptoms.
==[[Polymyalgia rheumatica classification|Classification]]==


==What causes Polymyalgia rheumatica?, Who is at risk?==
==[[Polymyalgia rheumatica pathophysiology|Pathophysiology]]==
The cause of [[Polymyalgia rheumatica]] remains unknown. The symptoms are due to the activity of inflammatory cells and proteins that are normally a part of body's disease-fighting immune system.


However sometimes it can occur together with [[Giant Cell arteritis]] .
==[[Polymyalgia rheumatica causes|Causes]]==


It often occurs in people who are 50 years or older. Women are about two times more likely to develop the disorder.
==[[Differentiating Polymyalgia rheumatica from other diseases|Differentiating Polymyalgia Rheumatica from other Diseases]]==


==Treatment options==
==[[Polymyalgia rheumatica epidemiology and demographics|Epidemiology and Demographics]]==
The physician may decide to do the following:


*[[ Erythrocyte sedimentation rate]] greater than 50 mm/h
==[[Polymyalgia rheumatica risk factors|Risk factors]]==
*[[ Normochromic normocytic]] [[anemia]] in more than half of the pages.
*[[ Rheumatoid factor]] which  should be negative
*[[ Muscle biopsy]] which  should be negative


The mainstream of therapy are [[corticosteroids]] which require careful monitoring. There is no emergency therapy for it.
==[[Polymyalgia rheumatica screening|Screening]]==


==Where to find medical care for polymyalgia rheumatica?==
==[[Polymyalgia rheumatica natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
[http://maps.google.com/maps?f=q&hl=en&geocode=&q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|polymyalgia rheumatica}}}}&sll=37.0625,-95.677068&sspn=65.008093,112.148438&ie=UTF8&ll=37.0625,-95.677068&spn=91.690419,149.414063&z=2&source=embed Directions to Hospitals Treating polymyalgia rheumatica]


==What to expect (Outlook/Prognosis)==
==Diagnosis==
The average length of disease is 3 years and exacerbations may occur if steroids are tapered too rapidly.
Relapse is common.
==Possible complications==
Symptoms of polymyalgia rheumatica can affect a person's ability to perform his/her day-to-day activities like
1) Standing up from a chair or getting out of a car, getting out of bed
2) Bathing, combing your hair.
3) Getting dressed or putting on a coat
Corticosteroid therapy can have its own complication also disease can exacerbation of disease with tapering of corticosteroids.


==Sources==
[[Polymyalgia rheumatica diagnostic study of choice|Diagnostic Study of Choice]] | [[Polymyalgia rheumatica history and symptoms|History and Symptoms]] | [[Polymyalgia rheumatica physical examination|Physical Examination]] | [[Polymyalgia rheumatica laboratory findings|Laboratory Findings]] | [[Polymyalgia rheumatica electrocardiogram|Electrocardiogram]] | [[Polymyalgia rheumatica x ray|X-ray]] | [[Polymyalgia rheumatica echocardiography and ultrasound|Echocardiography and Ultrasound]] | [[Polymyalgia rheumatica CT scan|CT scan]] | [[Polymyalgia rheumatica MRI|MRI]] | [[Polymyalgia rheumatica other imaging findings|Other Imaging Findings]] | [[Polymyalgia rheumatica other diagnostic studies|Other Diagnostic Studies]]
http://www.nlm.nih.gov/medlineplus/polymyalgiarheumatica.html


{{SIB}}
==Treatment==
[[Polymyalgia rheumatica medical therapy|Medical Therapy]] | [[Polymyalgia rheumatica surgery|Surgery]] | [[Polymyalgia rheumatica primary prevention|Primary Prevention]] | [[Polymyalgia rheumatica secondary prevention|Secondary Prevention]] | [[Polymyalgia rheumatica cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Polymyalgia rheumatica future or investigational therapies|Future or Investigational Therapies]]


[[Category:Diseases]]
==Case Studies==
[[Polymyalgia rheumatica case study #1|Case Study #1]]
 
[[Category:Medicine]]
[[Category:Rheumatology]]
[[Category:Rheumatology]]
[[Category:Rheumatology patient information]]
[[Category:Up-To-Date]]
[[Category:Patient information]]
[[Category:Mature chapters]]
 
 
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Latest revision as of 23:47, 29 July 2020

For patient information click here

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Overview

Historical Perspective

Classification

Pathophysiology

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Differentiating Polymyalgia rheumatica from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

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Primary Prevention

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Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2], Ujjwal Rastogi, MBBS [3], Rim Halaby, M.D. [4], Ahmed Elsaiey, MBBCH [5]

Synonyms and keywords: Anarthritic Syndrome, Arthritic Rheumatoid Disease, Polymyalgia, PMR

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Polymyalgia Rheumatica from other Diseases

Epidemiology and Demographics

Risk factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice | History and Symptoms | Physical Examination | Laboratory Findings | Electrocardiogram | X-ray | Echocardiography and Ultrasound | CT scan | MRI | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case Study #1

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