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Polymyalgia Rheumatica and Giant Cell Arteritis
JAMA 315:2442-2458, Buttgereit, F.,et al, 2016
See this aricle in Pubmed
Article Abstract
Diagnosis of PMR/GCA is made by clinical features and elevated inflammatory markers. In PMR, ultrasound imaging may improve diagnostic accuracy. In GCA, temporal artery biopsy may not be required in patients with typical disease features accompanied by characteristic ultrasound or MRI findings. Consensus-based recommendations suggest glucocorticoids as the most effective therapy for PMR/GCA. Methotrexate may be added to glucocorticoids in patients at risk for relapse and in those with glucocorticoid-related adverse effects or need for prolonged glucocorticoid therapy.
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arteritis,temporal
biologic markers
bursitis
C-reactive protein,elevated
headache
methotrexate
muscle stiffness
polymyalgia rheumatica
review article
sedimentation rate,elevated
shoulder,pain in
steroid therapy,CNS treatment and complications with
temporal artery,biopsy
treatment of neurologic disorder
tremor,leg
ultrasonography
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