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Rheumatoid Arthritis Update in Rheumatology Selected Topics 2017: Rheumatoid Arthritis Polymyalgia Rheumatic/Giant Cell Arthritis Jonathan Graph, MD Professor of Medicine, UCSF Director UCSF RA Cohort
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01
Consult with a rheumatologist or healthcare provider to confirm the diagnosis of polymyalgia rheumatica (PMR) or giant cell arteritis (GCA). They will conduct a thorough physical examination and may order blood tests or imaging studies to rule out other conditions.
02
Take prescribed medications as directed by your healthcare provider. PMR is typically treated with low-dose corticosteroids, such as prednisone, to manage symptoms and reduce inflammation. GCA may require higher doses of corticosteroids to prevent vision loss or other complications.
03
Follow a healthy lifestyle and adopt strategies to manage symptoms. This may include gentle exercises, such as walking or swimming, to improve flexibility and reduce pain. Applying heat or cold packs to affected joints can also provide relief. It's important to get enough rest and sleep, and to avoid stress and overexertion.
04
Attend regular follow-up appointments with your healthcare provider to monitor the effectiveness of the treatment and adjust medications if necessary. They may also recommend physical therapy or other supportive therapies to help manage symptoms and improve quality of life.
05
Stay informed and educated about PMR or GCA by seeking reliable sources of information, such as reputable medical websites, support groups, or educational materials provided by healthcare professionals. This will empower you to better understand the condition and make informed decisions about your care.

Who needs polymyalgia rheumaticagiant cell arteritis?

01
Polymyalgia rheumatica (PMR) and giant cell arteritis (GCA) primarily affect older adults, typically over the age of 50. PMR is more common in women than men. People with certain genetic factors may be at a higher risk of developing these conditions.
02
Individuals who experience symptoms such as severe muscle pain and stiffness in the shoulders, hips, and neck, along with fatigue, unexplained weight loss, and flu-like symptoms, should consult a healthcare provider for evaluation and potential diagnosis of PMR or GCA.
03
Additionally, individuals who have symptoms such as severe headache, scalp tenderness, jaw pain, vision changes, or sudden blindness should seek immediate medical attention, as these may be signs of GCA, a potentially serious condition that requires prompt treatment to prevent complications like permanent vision loss.
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Polymyalgia rheumatica and giant cell arteritis are inflammatory conditions that typically affect older adults. Polymyalgia rheumatica involves muscle pain and stiffness, while giant cell arteritis involves inflammation of the arteries.
Patients diagnosed with polymyalgia rheumatica and giant cell arteritis may be required to file reports with their healthcare provider or insurance company.
Patients should work with their healthcare provider to accurately report symptoms, medical history, and treatment plans related to polymyalgia rheumatica and giant cell arteritis.
The purpose of reporting polymyalgia rheumatica and giant cell arteritis is to track disease progression, monitor treatment effectiveness, and ensure proper care and management of symptoms.
Information such as symptoms, medical history, treatment plans, and any side effects experienced as a result of the condition or treatment must be reported.
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