Polymyalgia Rheumatica (PMR)

The aetiology is unknown; however, risk factors include age more than 50 years and presence of giant cell arteritis. It is characterised by severe aching and stiffness in the neck, shoulder girdle, and pelvic girdle. The signs and symptoms of PMR are non-specific, and objective findings on physical examination often are lacking. Erythrocyte sedimentation rate greater than 50 mm/h. In principle the disease is self-limiting; therefore several mild cases probably pass undiagnosed. The symptoms are relieved by corticosteroids within a few days:


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