TY - JOUR T1 - Polymyalgia rheumatica: An updated review JF - Cleveland Clinic Journal of Medicine JO - Cleve Clin J Med SP - 549 LP - 556 DO - 10.3949/ccjm.87a.20008 VL - 87 IS - 9 AU - Salman Bin Mahmood AU - Elizabeth Nelson AU - Jessica Padniewski AU - Rawad Nasr Y1 - 2020/09/01 UR - http://www.ccjm.org/content/87/9/549.abstract N2 - Polymyalgia rheumatica should be suspected in older patients with bilateral shoulder and hip stiffness that is worse in the morning and improves with use. An array of nonspecific musculoskeletal complaints, constitutional symptoms, and elevated serum inflammatory markers may be present, so other conditions should also be considered. Prolonged glucocorticoids with patient-tailored dosing and duration are the mainstay of treatment. Corticosteroid-sparing therapy with adjunctive methotrexate may benefit select patients. ER -