eISSN: 2084-9834
ISSN: 0034-6233
Reumatologia/Rheumatology
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2/2014
vol. 52
 
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abstract:
Editorial

Diagnostic approach to polymyalgia rheumatica – own experience

Marcin Milchert
,
Marek Brzosko

Reumatologia 2014; 52, 2: 89–93
Online publish date: 2014/06/04
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Polymyalgia rheumatica (PMR) presents uniquely severe clinical symptoms and inflammatory response followed by spectacular improvement in quality of life after glucocorticosteroid (CS) treatment. Severity of symptoms is surprising in older people with an impaired immune response. There is a danger that the diagnosis of PMR can be abused, because the temptation to achieve rapid therapeutic success is high. In addition, the realities of daily practice dangerously restrict the possibility of accurate differential diagnosis. New PMR classification criteria change the approach to the disease traditionally diagnosed based on the clinical picture. Do they bring order into diagnosis of this disease? Is the diagnosis of PMR possible on the basis of criteria without clinical intuition?
keywords:

polymyalgia rheumatica, classification criteria, musculoskeletal ultrasound



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