Polymyalgia Rheumatica (PMR) is a disease that affects people over 50 years, causing stiffness and pain in the neck, shoulders and hips. Do not know if it is really a change in the joints, muscles or arteries, spondylolisthesis but the symptoms in these places is a characteristic of this pathology. The stiffness can be so intense that it can cripple the patient Other symptoms include fatigue, weight loss, mild fever, and depression.
It is inflammation of some arteries of the human body, also known as Temporal arteritis due to high frequency of involvement of the arteries in the temporal regions spondylolisthesis (lateral) of the skull. This inflammation leads to narrowing, sometimes with a complete blockage of the blood vessel, resulting in a deprivation of circulation in areas surrounding the lesion. When there is an involvement of the ocular arteries, blindness in one or both eyes can happen suddenly. Strokes (strokes) are not uncommon. Jaw pain when chewing or talking, as well as pain (migraines) time are some of the symptoms that commonly occur. The two diseases appear to be linked, since about 10 to 15% of patients with Polymyalgia Rheumatica also has Giant cell arteritis, as well as the reverse occurs in nearly 40% of patients.
PMR is a syndrome, and unfortunately, there is no test to make the diagnosis in all patients. spondylolisthesis Other conditions that may cause similar symptoms must be ruled out before say for sure. The diagnosis of PMR when there is suggestive evidence in the history and physical examination, and a significant change to the examination of erythrocyte sedimentation rate (ESR) (very high). A temporal artery biopsy may be needed to make the diagnosis spondylolisthesis of GCA. A difference of temporal artery pulse palpation strongly spondylolisthesis suggests the diagnosis, and one dopplerfluxometric ultrasonographic evaluation or site, may be of great value.
The goal in the treatment of PMR and GCA is to alleviate the symptoms, spondylolisthesis and in the case of GCA, prevent further damage to tissues. The most common medication is corticosteroids, such as prednisone. Typically, patients with PMR respond very well to small doses (5-10 mg of prednisone). spondylolisthesis Already GCA patients require higher doses. The treatment often extends for two years or longer. It may be possible to treat mild cases of PMR with non-steroidal anti-inflammatory as well as in resistant cases, the use of imunossupresores may be required. Whatever the treatment spondylolisthesis used must be remembered that we are dealing with an elderly patient, spondylolisthesis and the use of any drug should be done carefully.
PMR and GCA can have severe complications and be a challenge to diagnose. The control of this patient should be performed as indicated and specialist training in medicines needed, ie the rheumatologist.
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