Polymyalgia rheumatica (PMR) and giant cell arteritis (GCA) are related conditions occurring almost exclusively in older people. Polymyalgia rheumatica is considered to be the rheumatic disease that is subject to the widest variations of clinical practice, partially due to the considerable uncertainty related to diagnosis and outcomes. Giant cell arteritis, an inflammatory form of vasculitis, may present with a broad spectrum of clinical manifestations and can be complicated byacute ischemic events, the most serious of which is permanent blindness. Early recognition and adequate treatment of the condition is thus necessary to prevent patients loss of independence and to maintain their quality of life. Part of the Oxford Rheumatology Library series, Polymyalgia Rheumatica and Giant Cell Arteritis provides quick and practically relevant information on several aspects of the diseases, particularly on diagnosis and management, with the ultimate aim of improving the patients care. Chapters highlight current concepts of pathogenesis, recent advances of diagnostic and therapeutic approaches, and the ongoing research into the identification of new biomarkers andcorticosteroid-sparing medications. Each chapter is complemented with key message boxes highlighting the most relevant information for clinical practice. This concise but comprehensive reference is particularly suited for rheumatologists, general practitioners, and other professionals caring for patients with PMR and GCA.
Definition and epidemiology; Etiology and pathogenesis; Classification criteria & clinical presentation of polymyalgia rheumatica; Clinical presentation of giant cell arteritis; Laboratory findings; Ultrasound; Temporal artery biopsy; Magnetic resonance imaging; Differential diagnosis; Corticosteroids; Role of steroid sparing agents; Treatment of a relapses, approach to difficult to treat patients; Management of sight loss and other disease and treatment related complications; Determination of disease activity and outcomes; Prognosis, duration of therapy; PMR and GCA in primary care; Socioeconomic implications of PMR and GCA; Patients education, patient charities;
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