Recent normative systems and risk factors in polymyalgia rheumatica

Authors: Hrnčíř Zb 1;  J. Brtková 2
Authors‘ workplace: II. interní gastroenterologická klinika Lékařské fakulty UK a Fakultní nemocnice, Hradec Králové 1;  Radiologická klinika Lékařské fakulty UK a Fakultní nemocnice, Hradec Králové 2
Published in: Čes. Revmatol., 24, 2016, No. 2, p. 38-46.
Category: Review Article


Polymyalgia rheumatica (PMR) is a clinical syndrome characterized by pain and stiffness in the neck, shoulder and pelvic girdles; this disorder is the most frequent inflammatory rheumatism in the elderly (caucasian) population. Difficulties in differential diagnosis and therapeutic protocols in PMR, but also progress of technology (esspecially in ultrasonographic imageing) induced within the past decade initiatives for definition of more precised guidelines (BSR/BHPR 2010), original classification criteria (EULAR/ACR 2012), and recommendation for management of PMR (EULAR/ACR 2015): they are the „State-of-the-Art“ in PMR and represent the background of this paper. At the same time a large amount of knowledge was obtained in relation to the most important risk factors in PMR, i. e. in relation to overlap with giant cell arteritis, probability of malignant tumours, responsivity and/or toxicity of long term therapy, esspecially do to glucocorticoids, etc. Recent normative systems may limit risk factors in PMR, and up-to-date information on this progress in PMR is an important precondition for good clinical practice, especially in rheumatology.

Key words:
Polymyalgia rheumatica, classification criteria, scoring algorithms, glucocorticoids, giant cell arteritis, risk of neoplasms


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Dermatology & STDs Paediatric rheumatology Rheumatology
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