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

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 ...

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