Polymyalgia rheumatica Treatment, Symptoms, Causes, Management, USMLE, Neetpg Medicine Lecture
Polymyalgia Rheumatica (PMR) is an inflammatory disorder that primarily affects older adults, typically those over the age of 50. It is characterized by widespread muscle pain and stiffness, usually in the shoulders, neck, hips, and thighs. The exact cause of PMR is unknown, but it is believed to involve an abnormal immune response.
The hallmark symptoms of PMR include aching and stiffness, especially in the morning or after periods of inactivity. This can lead to difficulty in performing daily activities, such as getting out of bed or raising one's arms. Fatigue, unintentional weight loss, and a general feeling of malaise are also common.
Diagnosing PMR involves a combination of clinical evaluation, blood tests (such as erythrocyte sedimentation rate or C-reactive protein), and sometimes imaging studies to rule out other conditions. One challenge in diagnosing PMR is that its symptoms can overlap with other inflammatory conditions.
The mainstay of treatment for PMR is corticosteroid medications, which effectively reduce inflammation and alleviate symptoms. However, long-term use of corticosteroids may lead to side effects, so the goal is to use the lowest effective dose for the shortest duration possible. Regular monitoring and follow-up with a healthcare professional are essential to manage the condition and adjust the treatment plan as needed.
While PMR can significantly impact daily life, especially if not properly managed, the prognosis is generally good with appropriate medical care. Early diagnosis and treatment play a crucial role in improving the quality of life for individuals with polymyalgia rheumatica.
Chapters:
0:00 Intro
1:06 Definition
1:59 Etiology
3:04 Clinical Features
4:01 Diagnosis
7:24 Differential Diagnosis
8:01 Giant Cell arteritis
8:29 Treatment
11:14 Taper Steroids
12:02 Precautions with Steroids
14:15 Summary
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