How would you manage polymyalgia rheumatica refractory to prednisone, methotrexate and tocilizumab?

Topics: Rheumatology • General Rheumatology • PMR • Polymyalgia rheumatica

Patient has no current evidence of underlying vasculitis or malignancy.

Answer from: at Community Practice

Interesting situation. With PMR, the first question I continue to ask myself is - do I have the right diagnosis? This disease is always rewarding to treat whether you get the thrill of starting steroids to be the hero or starting therapy and having to reassess. You report that there are no signs of ...

Comments

at George Washington University
This scenario screams to us to reconsider the diag...

at NIAMS
No screaming, Herb … ;*}

at Ascension St John
Thank you for the answer. Inflammatory markers are...

at NIAMS
Thanks for writing back, @Matthew Dwyer. A “...

at Ascension St John
Thank you.

Answer from: at Academic Institution

I think @Paul J. DeMarco has raised the issues that need to be made: when PMR does not behave in its usual fashion, it's probably not PMR!

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