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A wide range of symptoms can indicate if a person has polymyalgia rheumatica. The classic symptoms include: [10] Pain and stiffness (moderate to severe) in the neck, shoulders, upper arms, thighs, and hips, which inhibits activity, especially in the morning/after sleeping. Pain can also occur in the groin area and in the buttocks.
The main differential diagnosis is polymyalgia rheumatica (PMR), although pain, stiffness and weakness at the level of the shoulders and pelvic girdle with associated systemic symptoms (fever, malaise, fatigue, weight loss) is more typical of PMR.
[4] [7] Symptoms may include headache, pain over the temples, flu-like symptoms, double vision, and difficulty opening the mouth. [3] Complications can include blockage of the artery to the eye with resulting blindness, as well as aortic dissection, and aortic aneurysm. [4] GCA is frequently associated with polymyalgia rheumatica. [4]
Polymyalgia rheumatica: Large to medium vessels in shoulders, hips None specific Possible [43] Urticarial vasculitis: Small vessels in skin C1q antibodies Probable [44] Vasculitis: All vessel sizes in multiple organs Depends on specific type Uncertain [45]
Polymyalgia rheumatica (or "muscle rheumatism") is an inflammatory condition that mainly occurs in the elderly; it is associated with giant-cell arteritis (It often responds to prednisolone). [18] Polymyositis is an autoimmune condition in which the muscle is affected. [19] Rhabdomyolysis is the breakdown of muscular tissue due to any cause ...
Myalgia or muscle pain is a painful sensation evolving from muscle tissue.It is a symptom of many diseases.The most common cause of acute myalgia is the overuse of a muscle or group of muscles; another likely cause is viral infection, especially when there has been no injury.
Though any cartilage in the body may be affected in persons with relapsing polychondritis, in many cases the disease affects several areas while sparing others. The disease may be variable in its signs and symptoms, resulting in a difficult diagnosis which may leads to delayed recognition for several months, years or decades. [3]
Signs and symptoms [ edit ] The early clinical features of MCTD are nonspecific and may include fatigue , low-grade fever , myalgias , Raynaud phenomenon , swelling of the fingers or hands, arthralgia , esophageal reflux or dysmotility, acrosclerosis (also known as sclerodactyly), mild myositis , and various forms of pulmonary involvement.
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