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→Polymyalgia Rheumatica
=Polymyalgia Rheumatica=
=Polymyalgia Rheumatica=
*H&P: Age > 50, F>M. Proximal muscle pain and decreased active ROM but no weakness in neck/hips/shoulders without weakness, prolonged morning stiffness, subjective difficulty getting out a chair. Symptoms last at least 2 weeks. Fever, malaise, weight loss. Associated with giant cell arteritis.
*H&P: Age > 50, F>M. Proximal muscle pain and decreased active ROM but no weakness in neck/hips/shoulders, prolonged morning stiffness, subjective difficulty getting out a chair. Symptoms last at least 2 weeks. Fever, malaise, weight loss. Associated with giant cell arteritis.
*Dx: Elevated ESR, normocytic anemia, or normal studies
*Dx: Elevated ESR, normocytic anemia, or normal studies
*Tx: '''Low dose glucocorticoids.''' Follow with a long steroid taper. Symptoms usually resolve rapidly.
*Tx: '''Low dose glucocorticoids.''' Follow with a long steroid taper. Symptoms usually resolve rapidly.