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- Polymyalgia rheumatica (PMR) facts
- What is polymyalgia rheumatica?
- What are polymyalgia rheumatica causes and risk factors?
- What are symptoms and signs of polymyalgia rheumatica?
- How do health care professionals make a diagnosis of polymyalgia rheumatica?
- What is the medical treatment for polymyalgia rheumatica?
- What is the prognosis for patients with polymyalgia rheumatica?
- Is it possible to prevent polymyalgia rheumatica?
- What are polymyalgia rheumatica complications?
Is it possible to prevent polymyalgia rheumatica?
There is no prevention for polymyalgia rheumatica. Prevention measures focus on preventing side effects of drugs used to treat polymyalgia rheumatica.
What are polymyalgia rheumatica complications?
Polymyalgia rheumatica can lead to loss of function of joints if untreated. This generally is temporary, but frozen shoulders can be a further complication. Additional complications can result from medications used to treat polymyalgia rheumatica. These include stomach bleeding or kidney impairment from nonsteroidal anti-inflammatory drugs and cataracts, bruising of skin, and osteoporosis from cortisone medications. Therefore, the lowest possible doses of medications are best.
Polymyalgia rheumatica can occur in association with giant cell arteritis (temporal arteritis), a potentially more serious condition. It can also occur, as mentioned above, in association with a cancer. The prognosis in this setting is based on the ability to cure the cancer. The polymyalgia rheumatica symptoms resolve with resolution of the cancer.
Firestein, Gary S., et al. Kelley's Textbook of Rheumatology, 9th Edition. Philadelphia, PA: Saunders, 2013.