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18 terms

Fibromyalgia vs. Polymyositis, vs Polymyalgia Rheumatica

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Fibromyalgia
Classic age/sex : Young adult women
Fibromyalgia
Location : Various
Fibromyalgia
ESR : Normal
Fibromyalgia
EMG/biopsy : Normal
Fibromyalgia
Classic findings : Anxiety, stress, insomnia, point tenderness over affected muscles
Fibromyalgia
Treatment : Antidepressants, NSAIDS, rest
Polymyositis
Classic age/sex : Female aged 40-60 yr
Polymyositis
Location : Proximal muscles
Polymyositis
ESR : Elevated
Polymyositis
EMG/biopsy : Abnormal
Polymyositis
Classic findings : Elevated CPK, abnormal EMG/biopsy, higher risk of cancer
Polymyositis
Treatment : Steroids
Polymalgia Rheumatica
Classic age/sex : Female > age 50 yr
Polymalgia Rheumatica
Location : Pectoral and pelvic girdles, neck
Polymalgia Rheumatica
ESR : Markedly elevated (often > 100)
Polymalgia Rheumatica
EMG/biopsy : Normal
Polymalgia Rheumatica
Classic findings : Temporal arteritis, great response to steroids, very high ESR, elderly patients
Polymalgia Rheumatica
Treatment : Steroids