Today's test from Medscape:
reference.medscape.com/view...
On the whole not too bad - other than aiming to get the patient off pred in a year and then admitting that 25-40% of patients are still on pred after 5 years. And note the age range: over 45 years!
That there gardening has a lot to answer for 😳… and yes mostly good…
Looks a good read, thank you. I'll add it to my ever growing list. I only come on here about once a week now so things stack up. I need to read up on bursitis for a Zoom I'm listenign in on it to on Thursday, and all the stuff you sent me on squashed vertebrae for scan later in March. How do you keep up with it all?
Lots of it I know anyway and I read very quickly ...
Quite impressed with that, a lot more relevant than some we've read.
It was while digging out a new border 4 years ago that I decided I would have to go to a Dr, as I felt something ‘new & nasty’ was occurring…oh, yes, it was…PMR! Good read, though.
Interesting article. Thank you for sharing. I thought you could read the steroid dose being constant for a year and then reducing. Bit of clarity on this would be helpful to the gung ho prescribers!
The reference link given for the over-45s claim fails. I tracked the paper down, however (see below), and it contains no such claim. It simply says, "incidence rising from age 50 to 80 years".
ncbi.nlm.nih.gov/pmc/articl...
The stress given to positive CRP and/or ESR is interesting. Nowhere in the Medscape article does it suggest that PMR can be diagnosed while these tests are both normal (I've not checked all the references, yet).
PMR
PMR flare, how much pain?
PMR patient leaflet
