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- Title
Polymyalgia rheumatica - eine Herausforderung in der Altersmedizin: Diagnostik und Therapie interdisziplinär dargestellt.
- Authors
Hofmann, W.; Kötter, I.; Winterhalter, S.; Krupp, S.
- Abstract
Polymyalgia rheumatica is the second most frequent inflammatory rheumatic disease in people aged over 50 years, after rheumatoid arthritis. It is characterized by pain and morning stiffness in the region of the shoulders, hip girdle and neck. It can be associated with giant cell arteritis (CGA). Treatment with glucocorticoids is indispensable. The duration of treatment varies and often exceeds 1 year. The additive administration of methotrexate is an option for saving glucocorticoids. The biologicals tocilizumab or secukinumab are very promising alternatives. The course of treatment should be closely monitored for inflammation parameters, glucocorticoid side effects, pain, visual acuity, depression, activities of daily living and especially related to functions of the upper extremities. The geriatric assessment plays an important role in the management of this condition.
- Subjects
GIANT cell arteritis; POLYMYALGIA rheumatica; RHEUMATISM; JOINT stiffness; RHEUMATOID arthritis; GERIATRIC assessment
- Publication
ZFA: Zeitschrift für Allgemeinmedizin, 2024, Vol 100, Issue 1, p47
- ISSN
0937-6801
- Publication type
Article
- DOI
10.1007/s44266-023-00154-9