12.07.2015 Views

Clinical Pearls and Myths in Vasculitis

Clinical Pearls and Myths in Vasculitis

Clinical Pearls and Myths in Vasculitis

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Polymyalgia Rheumatica:MythDist<strong>in</strong>guish<strong>in</strong>g PMR from “elderly-onset RA” with prom<strong>in</strong>ent proximalsymptoms is sometimes challeng<strong>in</strong>gBecause patients with PMR may have synovitis <strong>in</strong> peripheral jo<strong>in</strong>ts, only aperiod of observation sometimes determ<strong>in</strong>es which of these entities isthe correct diagnosis (<strong>and</strong> some patients rema<strong>in</strong> difficult to categorizefor prolonged periods)In general, patients with RA improve on smaller doses ofcorticosteroids but are less likely to enter complete remission thanpatients with PMR.

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