RUDN Journal of Medicine (Dec 2016)
Clinical observation: polymyalgia rheumatica
Abstract
Polymyalgia rheumatica - a rare disease diagnosis is difficult in the absence of specific laboratory indicators, as well as from the similarity of the clinical picture of such diseases as bilateral humeroscapular nodosa, polymyositis, periarteritis nodosa, cancer, multiple myeloma. In some cases, with high fever, rheumatic polymyalgia necessary to differentiate from sepsis or tuberculosis; when the articular syndrome, brucellosis, toxoplasmosis, arthritis of the jaw joint, the jaw and facial neuralgia. In laboratory indicators - signs of inflammation. Quick response to treatment with prednisolone (within 2-3 days) confirms the diagnosis.