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6 Cards in this Set
- Front
- Back
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What is PMR? (3)
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Syndrome: TRIAD
1. Muscle pain 2. Stiffness 3. Increased ESR >40mm/hr |
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Associated features (1)
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Giant cell arteritis in 15-20%(although PMR is not a true vasculitis)
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Who is affected (2)
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Women (3:1)
Over 70 yrs |
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Symptoms (5)
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Proximal muscle stiffness e.g. neck, upper arms, buttocks, thighs.
Rapid onset pain (tender on palpation) Early morning stiffness Night pain Weight loss, fatgue, depression, night sweats. NB: THERE IS NO MUSCLE WASTING, if there is a neuro disease is more likely. |
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Investigate
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ESR (if low check CRP which may be elevated)
Normochromic normocytic anaemia |
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Rx:
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Corticosteroids
Prednisolone (should be much better in 72hrs, resolved by 7days, if it hasn't the diagnosis is wrong) Sparing agents - methotrexate + azathioprine Prophylaxis bone degen - bisphosphonate + calcium supplements |
