You suspect that your patient has polymyalgia rheumatica and now are concerned that the patient may also have Giant Cell Arteritis (GCA).Which of the following two symptoms are most indicative of GCA and PMR?

Question

Quizplus · Accepted Answer

Scalp tenderness and aching in shoulder and pelvic girdle are the two most indicative symptoms of both PMR and GCA. Although other symptoms may be present in both conditions, these two symptoms are the most specific, especially for GCA. Jaw pain may also be present in GCA, but it is not as specific as the other symptoms mentioned. Joint swelling and sudden loss of central vision bilaterally are not usually seen in PMR and are more specific to GCA. Hoarseness and inability to grasp small objects are not typically associated with either condition.

You Suspect That Your Patient Has Polymyalgia Rheumatica and Now