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Age and Ageing 2003; 32: 370-374
© 2003, British Geriatrics Society

Review

Polymyalgia rheumatica and temporal arteritis: evidence and guidelines for diagnosis and management in older people

Richard Frearson1, Tim Cassidy2 and Julia Newton3,

1 Freeman Hospital, High Heaton, Newcastle upon Tyne, UK
2 Newcastle General Hospital, Westgate Road, Newcastle upon Tyne, UK
3 Institute for Ageing and Health, Care of the Elderly Offices, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, UK

Polymyalgia rheumatica and temporal arteritis commonly present for the first time in older people. Guidelines for diagnosis, investigation and management are available but have largely been developed by rheumatologists from studies where older people have been excluded. It is not clear whether geriatricians care for a group of patients with different clinical presentations compared to those under the care of other clinicians. There is a need for further prospective studies and randomised controlled trials to clarify a host of outstanding issues to improve the care of older people with polymyalgia rheumatica and temporal arteritis.

Keywords: polymyalgia rheumatica, temporal arteritis, steroids, older people


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