BSR and BHPR guidelines for management of polymyalgia rheumatica
February 6th, 2010 | 
Author: Source: Rheumatology, BMJ
Area: News
The British Society for Rheumatology (BSR) and the British Health Professionals in Rheumatology (BHPR) have published guidelines on management of polymyalgia rheumatica, the most common inflammatory rheumatic disease in the elderly, and one of the biggest indications for long-term steroid therapy. There are difficulties in diagnosis, with heterogeneity in presentation, response to steroids and disease course. These guidelines cover diagnosis, management and monitoring of disease activity, complications and relapse. An editorial in the BMJ points out that “the current guidelines simplify the approach to the diagnosis and management of patients presenting with polymyalgic symptoms, although they are not supported by good scientific evidence-most of the r…MedWorm Message: Get the very latest Swine Flu news via the MedWorm Swine Flu RSS news feed – updated hourly from thousands of authoritative health and news sources.
Read full story
Related posts:
- BSR and BHPR guidelines for the management of polymyalgia rheumatica ch_client = "wildplus"; ch_width = 200; ch_height = 200; ch_type = "mpu"; ch_sid = "Polymyalgia 200x200"; ch_color_site_link = "#36727D"; ch_color_title...
- Polymyalgia rheumatica and temporal arteritis: evidence and guidelines for diagnosis and management in older people by Richard Frearson, Tim Cassidy, Julia Newton Polymyalgia rheumatica and temporal arteritis commonly present for the first time in older...
- Longitudinal examination with shoulder ultrasound of patients with polymyalgia rheumatica Conclusion. Subclinical inflammation detected by US persists in most PMR patients despite glucocorticoid treatment. PDUS may be useful to detect...
- Management of polymyalgia rheumatica (Source: BMJ Online First)MedWorm Message: Get the very latest Swine Flu news via the MedWorm Swine Flu RSS news feed...
Female caucasian aged 72 living in Thailand. This condition is not common in Asia.
I would like to understand the reason for the following situation:
PMR was diagnosed 6 months after onset of agonizing neuro pains in my hands, wrists and forearms. No other symptoms. I have been on Prednisone and Arcoxia for six months and now quite suddenly the pains have returned as bad as when they first manifested a full year ago. These two drugs have controlled the pain effectively for all this time but why would these horrendous pains return whilst taking the same dosage? My recent blood test shows an elevated sed rate 39 up from 25 and 29 – previous two-monthly test results.
What am I doing wrong? Your help would be much appreciated.