PubMed دسترسی آزاد

[Polymyalgia rheumatica].

Myriam Reisch, Zhivana Boyadzhieva, Christian Dejaco, Frank Buttgereit• 2026• Zeitschrift fur Rheumatologie
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چکیده اصلی

Polymyalgia rheumatica (PMR) is a common inflammatory rheumatic disease of older adults, characterized by bilateral pain in the shoulder and pelvic girdles, morning stiffness, and systemic signs of inflammation. Despite its high prevalence, PMR remains a clinical challenge due to diagnostic uncertainty and a broad spectrum of differential diagnoses. Furthermore, disease management is complicated by the overlap with giant cell arteritis and the frequently required long-term glucocorticoid therapy due to recurrent relapses, which in turn is associated with an increased risk of treatment-related adverse effects. Early confirmation of the diagnosis, structured patient stratification, and the integration of individual risk factors into therapeutic decision-making are essential for the optimal management of patients with PMR.

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کلیدواژه‌ها

Differential diagnosesGlucocorticoidsInterleukin‑6 receptorRheumatic diseasesRisk assessment
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