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Answers tagged polymyalgia rheumatica: Page 1 of 1
Q:

Wendy from the UK asks: Does the treatment of Polymyalgia Rheumatica with steroids prevent Giant Cell Arteritis?

Polymyalgia rheumatica (PMR) and giant cell arteritis, otherwise known as GCA or temporal arteritis, are distinct condition that may present at the same time.  Many patients with GCA also will present with PMR, while a smaller proportion of patients with PMR present with GCA.  While the treatment for both starts the same – glucocorticoids – the doses are very different.  PMR is treated with low dose prednisone, while GCA initially requires high dose prednisone.  That said, once on prednisone, the risk of developing GCA, and particularly loss of vision from GCA, drops significantly.

Q:

Gwen from Edmonton asks:  I was diagnosed with fibromyalgia rheumatica 4 years ago….took prednisone ….tapered very slowly off this summer…….now all the symptoms are back…..how long does this disease last?

It is common to confuse fibromyalgia and polymyalgia rheumatica (PMR) – the first is a condition associated with chronic pain and can be treated with a number of non-pharmacologic options, while PMR requires low dose prednisone for approximately one year.  In most cases of PMR, a slow titrating course of prednisone is effective, although there are times when symptoms return.  For these cases, retreatment with prednisone, or the addition of steroid sparing medications, is considered.  Equally important is to review your symptoms with your physician to ensure the correct diagnosis, or change in diagnosis.



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