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Duke Orthopaedics
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Wheeless' Textbook of Orthopaedics

Polymyalgia Rhematica



- Discussion:
    - polymyalgia rheumatica is a clinical syndrome that affects shoulder and hip girdles and causes severe pain and stiffness;
    - usually pt is in the sixth to seventh decade of life;
    - diff dx:
            - frozen shoulder (usually frozen shoulder is not associated w/ an elevated sed rate);
            - giant cell arteritis;

- Labs:
    - Sed Rate:
         - disorder often presents w/ low grade fever, anemia, & markedly elevated erythrocyte sed rate;
         - sed rate is of diagnostic importance in pts who have polymyalgia rheumatica, for it is most consistent laboratory abnormality;
         - value is of more than fifty mm/ hour, and often > 100 mm / hour;
         - it is excellent indicator of activity of this disease, and serial measurements should be obtained;

- Treatment:
    - it is usually responsive to low dose corticosteroids and has excellent prognosis



Treatment of polymyalgia rheumatica and giant cell arteritis. I. Steroid regimens in the first two months

Many Muscle Misery



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Tuesday, September 4, 2012 12:40 pm