Polymyalgia rheumatica – eine Herausforderung in der Altersmedizin
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Polymyalgia rheumatica – eine Herausforderung in der Altersmedizin : Diagnostik und Therapie interdisziplinär dargestellt. / Hofmann, W; Kötter, I; Winterhalter, S; Krupp, S.
in: Z RHEUMATOL, Jahrgang 83, Nr. 2, 03.2024, S. 112-121.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › Fortbildungsbeitrag › Lehre › Begutachtung
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TY - JOUR
T1 - Polymyalgia rheumatica – eine Herausforderung in der Altersmedizin
T2 - Diagnostik und Therapie interdisziplinär dargestellt
AU - Hofmann, W
AU - Kötter, I
AU - Winterhalter, S
AU - Krupp, S
N1 - © 2024. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.
PY - 2024/3
Y1 - 2024/3
N2 - Polymyalgia rheumatica is the second most frequent inflammatory rheumatic disease in people aged over 50 years, after rheumatoid arthritis. It is characterized by pain and morning stiffness in the region of the shoulders, hip girdle and neck. It can be associated with giant cell arteritis (CGA). Treatment with glucocorticoids is indispensable. The duration of treatment varies and often exceeds 1 year. The additive administration of methotrexate is an option for saving glucocorticoids. The biologicals tocilizumab or secukinumab are very promising alternatives. The course of treatment should be closely monitored for inflammation parameters, glucocorticoid side effects, pain, visual acuity, depression, activities of daily living and especially related to functions of the upper extremities. The geriatric assessment plays an important role in the management of this condition.
AB - Polymyalgia rheumatica is the second most frequent inflammatory rheumatic disease in people aged over 50 years, after rheumatoid arthritis. It is characterized by pain and morning stiffness in the region of the shoulders, hip girdle and neck. It can be associated with giant cell arteritis (CGA). Treatment with glucocorticoids is indispensable. The duration of treatment varies and often exceeds 1 year. The additive administration of methotrexate is an option for saving glucocorticoids. The biologicals tocilizumab or secukinumab are very promising alternatives. The course of treatment should be closely monitored for inflammation parameters, glucocorticoid side effects, pain, visual acuity, depression, activities of daily living and especially related to functions of the upper extremities. The geriatric assessment plays an important role in the management of this condition.
U2 - 10.1007/s00393-024-01484-0
DO - 10.1007/s00393-024-01484-0
M3 - Fortbildungsbeitrag
C2 - 38285216
VL - 83
SP - 112
EP - 121
JO - Z RHEUMATOL
JF - Z RHEUMATOL
SN - 0340-1855
IS - 2
ER -