DIFFERENTIAL DIAGNOSIS. Multiple myeloma. Chronic infection, for example, endocarditis, visceral ab

Polymyalgia Rheumatica AND GIANT CELL ARTERITIS fatty liver disease - SYMPTOMS, CAUSES AND CHARACTERISTICS fatty liver disease OF DIAGNOSIS patients usually over 50 years of age. Polymyalgia rheumatica is characterized by pain and stiffness (often with morning), but not weakness, of cíngulos fatty liver disease shoulder and pelvis for at least 1 month without any evidence of infection or cancer. Associated with fever, little or no swollen joints, erythrocyte sedimentation rate> 40mm/he abrupt response to prednisone, 15 mg / day. Arteritis giant (or temporal) cells often coexists with polymyalgia rheumatica; headache, jaw claudication or hypersensitivity of the temporal artery. Monocular visual changes represent medical emergencies; blindness is permanent. Diagnostic confirmation by biopsy of the temporal artery 5 cm remains reliable during 1-2 weeks after the institution of steroids.
DIFFERENTIAL DIAGNOSIS. Multiple myeloma. Chronic infection, for example, endocarditis, visceral abscess. fatty liver disease Neoplasia. Rheumatoid arthritis. Depression. Myxedema. Carotid plaque fatty liver disease with embolic amaurosis fatty liver disease fugax. Takayasu arteritis of the carotid
Polymyalgia fatty liver disease Rheumatica And ARTERITIS GIANT CELL TREATMENT Prednisone, 10-20 mg / day for polymyalgia rheumatica. Prednisone, 60 mg / day, immediately upon suspicion of temporal arteritis; Treat for at least four months, according to symptom response does not erythrocyte sedimentation rate. The methotrexate or azathioprine spare steroids in some patients experience side effects with high doses.
Tip Instruct the patient with polymyalgia rheumatica fatty liver disease to carry always with 60 mg of prednisone; he should immediately take the medicine if any visual symptoms. Reference Weyand CM, Goronzy JJ: Giant-cell arteritis and polymyalgia rheumatica