Clinical Case Database / Category: Patient Management

Polymyalgia rheumatica

Publication details

Dr. Adam Wheldon
Foundation Years Journal, volume 6, issue 1, p.27 (123Doc Education, London, January 2012)


This article looks at the presentation, investigation and appropriate management of Polymyalgia Rheumatica (PMR). This is the most common inflammatory rheumatic condition in the elderly. There is a wide differential diagnosis. Investigations to help make the diagnosis and regular assessment of the clinical course must be made to ensure successful treatment. The aim of this article is to illustrate, through the use of a case, the important aspects of the history, examination, investigation and treatments for a patient presenting with PMR.

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Dr. Adam Wheldon

SpR General and Geriatric Medicine
Royal Bournemouth Hospital


1. Dasgupta B, Borg F, Hassan N, et al. BSR and BHPR guidelines for the management of polymyalgia rheumatica.
2. Dasgupta B, Borg F, Hassan N, et al. BSR and BHPR guidelines for the management of giant cell arteritis
3. Royal College of Physicians 2002. Glucocorticoid-induced osteoporosis: guidelines for prevention and treatment.


Conflict Of Interest

The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (

Financial Statement

The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts ( The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

Animal & Human Rights

When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.