Polymyalgia Rheumatica (PMR)

Risk Factors

  • Age > 50
  • Women > Men
  • Northern European ancestry

Symptoms

  • Sub-acute
  • Hips/pelvis
  • Neck
  • Fatigue
  • Wt loss
  • Morning stiffness/achiness > 30min→ B shoulders
  • Can't sleep secondary to inability to find comfortable position
  • Difficulty combing hair/taking on/off shirts/putting on bra
  • ~10% of those w/PMR will go on to develop GCA

Physical Exam Findings

  • 50% will havedistal synovitis, bursitis and/or edema
  • Other patients w/no objective joint or peri-articular findings
  • Subjective weakness (related to pain)

Tests