医
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无力、肌肉酸痛、肌痛、晨僵、流行性肌痛、乏力、低热
Polymyalgia rheumatica (PMR) is inflammatory condition in older adults with bilateral shoulder/hip girdle pain and morning stiffness (>30-45 min), elevated ESR/CRP. Associated with giant cell arteritis (GCA). Treatment: low-dose glucocorticoids (prednisone 12.5-25 mg/day), rapid clinical response within days; taper slowly over 1-2 years; steroid-sparing (methotrexate) if needed; bone protection (calcium/vitamin D, bisphosphonate); monitor for GCA symptoms (headache, jaw claudication, vision changes); follow-up rheumatology.
Shoulder/hip girdle pain; morning stiffness; age >50; elevated ESR/CRP
Autoimmune inflammatory girdle syndrome (closely related to GCA).
Low-dose prednisone; slow taper; methotrexate if needed; monitor GCA
Early diagnosis; bone protection; monitor for GCA symptoms.
It is recommended to visit the Rheumatology department; an appointment can be booked on this platform before the visit.
Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.
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