A 75-year-old female patient complains of fatigue, as well as pain and stiffness of the shoulders and neck. There is no history of trauma or exercised-induced pain. Medications include a beta blocker and ACE inhibitor. Medical history includes giant cell arteritis and Raynaud's syndrome. Physical examination is unremarkable. There is no swelling or erythema over the temporal arteries. There is no swelling, erythema, limitation in range of motion, or point tenderness over the shoulder joints. The neck has normal range of motion and no tenderness or swelling. Which of the following disorders should be included in the list of possible diagnoses?

Question

Quizplus · Accepted Answer

The patient's symptoms of fatigue, pain, and stiffness in the shoulders and neck, along with a history of giant cell arteritis, strongly suggest polymyalgia rheumatica. This condition is often associated with giant cell arteritis and presents with similar symptoms without joint swelling or erythema, making it the most likely diagnosis among the options provided.

A 75-Year-Old Female Patient Complains of Fatigue, as Well as Pain