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Polymyalgia Rheumatica (DDX (hypothyroidism, primary muscle disease,…
Polymyalgia Rheumatica
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DDX
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osteoarthritis [esp cervical spondylosis, shoulder OA)
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MANAGEMENT
Prednisolone 15mg/d po
Most need steroids for ≥2yrs, so give bone protection
Addition of methotrexate may be considered, for patients at risk of relapse/prolonged therapy
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dec dose slowly, eg by 1mg/month (according to symptoms/esr)
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