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About 15% of people who are diagnosed with polymyalgia rheumatica also have temporal arteritis, and about 50% of people with temporal arteritis have polymyalgia rheumatica. Some symptoms of temporal arteritis include headaches , scalp tenderness, jaw or facial soreness, distorted vision , or aching in the limbs caused by decreased blood flow ...
Blindness, aortic dissection, aortic aneurysm, polymyalgia rheumatica [4] Usual onset: Age greater than 50 [4] Causes: Inflammation of the small blood vessels within the walls of larger arteries [4] Diagnostic method: Based on symptoms and blood tests, confirmed by biopsy of the temporal artery [4] Differential diagnosis
The main differential diagnosis is polymyalgia rheumatica (PMR), although pain, stiffness and weakness at the level of the shoulders and pelvic girdle with associated systemic symptoms (fever, malaise, fatigue, weight loss) is more typical of PMR.
Polymyalgia rheumatica (or "muscle rheumatism") is an inflammatory condition that mainly occurs in the elderly; it is associated with giant-cell arteritis (It often responds to prednisolone). [18] Polymyositis is an autoimmune condition in which the muscle is affected. [19] Rhabdomyolysis is the breakdown of muscular tissue due to any cause ...
Fibromyalgia could be misdiagnosed in cases of early undiagnosed rheumatic diseases such as preclinical rheumatoid arthritis, early stages of inflammatory spondyloarthritis, polymyalgia rheumatica, myofascial pain syndromes and hypermobility syndrome.
Sacks et al. (2005) reported the case of a 72-year-old man, described as professionally successful, intelligent, and cultivated, with polymyalgia rheumatica, who after being treated with prednisone developed a psychosis and dementia, which several behavioral neurology and neuropsychiatry consultants initially diagnosed as early dementia or ...
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