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REVIEW ARTICLE
Year : 2017  |  Volume : 5  |  Issue : 1  |  Page : 28-31

Polymyalgia Rheumatica and Giant cell arteritis


Consultant Rheumatologist, Sakra world Hospital, Bangalore 560103, India

Correspondence Address:
B G Dharmanand
Consultant Rheumatologist, Sakra world Hospital, Bangalore 560103
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2666-1802.258853

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Polymyalgia Rheumatica (PMR) is the most common inflammatory disease in elderly. It is rare before 60 years. Though rare in India, prompt diagnosis leads to prompt improvement in symptoms. Abrupt onset proximal arthritis and stiffness is typical. Response to low dose of steroids is fairly prompt and predictable. Normal acute phase reactants, like ESR makes this illness less likely. In PMR age group, malignancy and infection are the main differential diagnoses. Giant Cell arteritis (GCA) is a related disease. It can present as PMR or abrupt onset vision loss due ischemic optic neuritis. It can also present as PUO in elderly. Temporal artery biopsy is typically positive in GCA. Moderate to high dose of steroids are very effective to prevent further ischemic events. Steroid related side effects need to be anticipated and treated when treating PMR and GCA.


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