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Polymyalgia Rheumatica (PMR)%u2022Inflammatory disorder causing muscle pain and stiffness in older adultsDefinition:%u2022Bilateral shoulder and hip girdle pain and stiffness%u2022Prolonged morning stiffness (> 45 minutes)%u2022Systemic symptoms (fatigue, low-grade fever, weight loss)%u2022Age of onset typically > 50 yearsClinical features:%u2022Giant cell arteritis (10-15% of PMR patients)Association:%u2022Elevated ESR and CRP%u2022Normal or slightly elevated CK%u2022Negative RF and anti-CCPInvestigations:%u2022Low-dose corticosteroids (dramatic response is characteristic)%u2022Gradual tapering over months to years%u2022Consider DMARD (methotrexate) as steroid-sparing agentTreatment:
