[Polymyalgia rheumatica-A challenge in geriatrics : Interdisciplinary presentation of diagnostics and treatment]. / Polymyalgia rheumatica eine Herausforderung in der Altersmedizin : Diagnostik und Therapie interdisziplinär dargestellt.
Z Rheumatol
; 83(2): 112-121, 2024 Mar.
Article
em De
| MEDLINE
| ID: mdl-38285216
ABSTRACT
Polymyalgia rheumatica is the second most frequent inflammatory rheumatic disease in people aged over 50 years, after rheumatoid arthritis. It is characterized by pain and morning stiffness in the region of the shoulders, hip girdle and neck. It can be associated with giant cell arteritis (CGA). Treatment with glucocorticoids is indispensable. The duration of treatment varies and often exceeds 1 year. The additive administration of methotrexate is an option for saving glucocorticoids. The biologicals tocilizumab or secukinumab are very promising alternatives. The course of treatment should be closely monitored for inflammation parameters, glucocorticoid side effects, pain, visual acuity, depression, activities of daily living and especially related to functions of the upper extremities. The geriatric assessment plays an important role in the management of this condition.
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Base de dados:
MEDLINE
Assunto principal:
Polimialgia Reumática
/
Arterite de Células Gigantes
Idioma:
De
Ano de publicação:
2024
Tipo de documento:
Article