What is your approach to patients with PMR on steroids over a prolonged initial course who start to experience weakness concerning for steroid myopathy?
Answer from: at Academic Institution
In the absence of biopsy-proven giant-cell arteritis, true PMR is likely to be an overdiagnosed disorder. I would encourage your viewing audience to read a publication appearing on April 1, 2016 in Open Access Rheumatology: Research and Reviews, volume 8, pages 45-49, entitled "Polymyalgia Rheumatic...
Comments
at UTMB Health I tend to agree with Dr. @Brawer. Over half the pa...
One of two approaches, similar to the case in inflammatory myopathy: either increase steroid dose (pain/weakness increase argues for steroid myopathy; decrease means there is need for higher dose/longer taper) or decrease steroid dose (increase in symptoms means there is need for more/longer steroid...
I tend to agree with Dr. @Brawer. Over half the pa...