• Cleve Clin J Med · Aug 2020

    Review

    Polymyalgia rheumatica: An updated review.

    • Salman Bin Mahmood, Elizabeth Nelson, Jessica Padniewski, and Rawad Nasr.
    • Department of Medicine, Hennepin Healthcare, Minneapolis, MN.
    • Cleve Clin J Med. 2020 Aug 31; 87 (9): 549-556.

    AbstractPolymyalgia rheumatica should be suspected in older patients with bilateral shoulder and hip stiffness that is worse in the morning and improves with use. An array of nonspecific musculoskeletal complaints, constitutional symptoms, and elevated serum inflammatory markers may be present, so other conditions should also be considered. Prolonged glucocorticoids with patient-tailored dosing and duration are the mainstay of treatment. Corticosteroid-sparing therapy with adjunctive methotrexate may benefit select patients.Copyright © 2020 The Cleveland Clinic Foundation. All Rights Reserved.

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