Polymyalgia rheumatica: An updated review

被引：15

作者：

Bin Mahmood, Salman ^{[1
]}

Nelson, Elizabeth ^{[1
]}

Padniewski, Jessica ^{[1
]}

Nasr, Rawad ^{[1
]}

机构：

[1] Hennepin Healthcare, Dept Med, 701 Pk Ave S, Minneapolis, MN 55415 USA

来源：

CLEVELAND CLINIC JOURNAL OF MEDICINE | 2020年 / 87卷 / 09期

关键词：

GIANT-CELL ARTERITIS; SERONEGATIVE SYMMETRICAL SYNOVITIS; PITTING EDEMA; DOUBLE-BLIND; RHEUMATISM/AMERICAN COLLEGE; CLASSIFICATION CRITERIA; EUROPEAN LEAGUE; MANAGEMENT; METHOTREXATE; RECOMMENDATIONS;

D O I：

10.3949/ccjm.87a.20008

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Polymyalgia 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.

引用

页码：549 / 556

页数：8

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