Polimialgia reumatică - Healths -

Pierdere în greutate și polymyalgia rheumatica

Headache and scalp tenderness are typical for GCA. GCA may be complicated by visual loss or by strokes.

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Imaging, particularly ultrasound, is helpful for distinguishing PMR from similar conditions such as shoulder osteoarthritis, rheumatoid arthritis and chondrocalcinosis.

Subdeltoid bursitis, biceps tenosynovitis and hip joint effusions are common in PMR. The diagnosis of GCA needs to be either confirmed by imaging or by histology.

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Ultrasound is the imaging method of choice provided that expertise and adequate equipment are available. Inflamed arteries exhibit a concentric wall thickening.

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Patients with extracranial GCA are younger, more often female. Vasculitis commonly involves the aorta, subclavian arteries, axillary arteries and other arteries. Fast-track clinics provide clinical and ultrasound examinations by experts within 24 hours.

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Their introduction led to a decrease of visual loss in GCA. Additional treatment with tocilizumab allows to reduce flares and decrease glucocorticoid doses.

Tocilizumab is particularly useful in patients with relapses and with increased risk of glucocorticoid side effects.

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