polymyalgia rheumatica (PMR) relapse
Last reviewed 10/2023
relapse of polymyalgia rheumatica
Relapse is the recurrence of symptoms of PMR or onset of GCA, and not just unexplained raised ESR or CRP
Treatment of relapse:
- if clinical features of GCA - treat as GCA (usually oral prednisolone 40-60mg
daily) (see GCA guideline)
- if clinical features of PMR - increase prednisolone to previous higher dose
- single IM. injection of methylprednisolone (depomedrone) 120mg can also be used.
- further relapses: consider introducing DMARD therapy after two relapses (1)
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