Polymyalgia Rheumatica: Difference between revisions
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== Diagnostic Tests/Lab Tests/Lab Values == | == Diagnostic Tests/Lab Tests/Lab Values == | ||
PMR is a diagnosis of exclusion. (JRSM) There are no definitive diagnostic tests to identify PMR. (Path book) Physicians will typically perform a physical exam, order blood tests, and perform imaging studies to determine if the patient’s symptoms are due to some other disorder. (Mayo clinic) Some clinicians use an erythrocyte sedimentation rate (ESR) of higher than 30 or 40 mm/hr as diagnostic criteria; however, there have been reports of individuals diagnosed with PMR having an ESR of normal or only slightly higher than normal so this may not be an appropriate criteria. (Path book) | |||
== Etiology/Causes == | == Etiology/Causes == | ||
Revision as of 03:26, 4 April 2011
Original Editors - Nicki Spencer from Bellarmine University's Pathophysiology of Complex Patient Problems project.
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Definition/Description[edit | edit source]
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Prevalence[edit | edit source]
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Characteristics/Clinical Presentation[edit | edit source]
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Associated Co-morbidities[edit | edit source]
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Medications[edit | edit source]
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Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]
PMR is a diagnosis of exclusion. (JRSM) There are no definitive diagnostic tests to identify PMR. (Path book) Physicians will typically perform a physical exam, order blood tests, and perform imaging studies to determine if the patient’s symptoms are due to some other disorder. (Mayo clinic) Some clinicians use an erythrocyte sedimentation rate (ESR) of higher than 30 or 40 mm/hr as diagnostic criteria; however, there have been reports of individuals diagnosed with PMR having an ESR of normal or only slightly higher than normal so this may not be an appropriate criteria. (Path book)
Etiology/Causes[edit | edit source]
There is no clear cause for PMR; however, research has begun to suggest that it may occur due to a combination of environmental and genetic factors. (Mayo clinic)
Certain characteristics of PMR suggest that an environmental cause could be an infectious disease. It has a very sudden onset and new cases occur in cycles, which could indicate an infection as the source. (Mayo clinic)
The gene(s) that could be responsible for PMR has not been identified. Inheritance of the disorder has been suggested due to findings in some genetic studies and a pattern seen in family histories. (Mayo clinic)
Systemic Involvement[edit | edit source]
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Medical Management (current best evidence)[edit | edit source]
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Physical Therapy Management (current best evidence)[edit | edit source]
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Alternative/Holistic Management (current best evidence)[edit | edit source]
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Differential Diagnosis[edit | edit source]
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Case Reports/ Case Studies[edit | edit source]
- Polymyalgia rheumatic and exercise: a single case report on one woman
- Isolated lower extremity vasculitis in a patient with polymyalgia rheumatica
Resources
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- American College of Rheumatology- http://www.rheumatology.org/practice/clinical/patients/diseases_and_conditions/polymyalgiarheumatica.asp
- National Library of Medicine - http://www.nlm.nih.gov/medlineplus/polymyalgiarheumatica.html
- National Institute of Arthritis and Musculoskeletal and Skin Diseases Information Clearinghouse - http://www.niams.nih.gov/Health_Info/Polymyalgia/default.asp
- Arthritis Foundation - http://www.arthritis.org/conditions/diseasecenter/pmr.asp
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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