Polymyalgia rheumatica (musculoskeletal manifestations)

Musculoskeletal manifestations of polymyalgia rheumatica are the commonest presentation of polymyalgia rheumatica.

Epidemiology

Polymyalgia rheumatica is the most common inflammatory rheumatic condition in older adults .

Clinical presentation

Patients typically present with :

• shoulder or pelvic girdle aches lasting over 2 weeks
• morning shoulder or pelvic girdle stiffness
• raised inflammatory markers (e.g. ESR)

Pathology

Associations

• giant cell arteritis

Radiographic features

Ultrasound

Although usually not required ultrasound may commonly show :

• bilateral subacromial bursitis
• biceps long head tenosynovitis
• trochanteric bursitis

Treatment and prognosis

Treatment is usually low dose corticosteroids which most patients respond well to .

Siehe auch:

• Rheuma Differentialdiagnose