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PMG Patient Information Evening

Learn about Polymyalgia Rheumatica (PMR) and Giant Cell Arteritis (GCA), their symptoms, investigations, and treatment options. Find out when to seek specialist referral and how to manage relapse. Get answers to your questions.

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PMG Patient Information Evening

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  1. PMG Patient Information Evening 12th March 2018

  2. Contributors • Becky Barratt (Community Pharmacist) • Richard Thomson (GP) • Gerwyn Owen (GP)

  3. Topics for this evening • Role of the Community Pharmacist • Common Childhood Illnesses • Polymyalgia Rheumatica and Giant Cell Arteritis

  4. Polymyalgia Rheumatica(PMR) and Giant Cell Arteritis(GCA) • PMR is an inflammatory condition of unknown cause • Symptoms of severe bilateral pain and morning stiffness of shoulders, neck and pelvic girdle • GCA is thought to be related to PMR and 15% of those with PMR go on to develop GCA • GCA symptoms include headache, jaw muscle pain on chewing and visual disturbance

  5. PMR and GCA • Annual incidence is 84 per 100,000 in UK population • Almost exclusively in the over 50s with a mean onset of about 73 • Female : male ratio approximately 3:1 • Mainly a North European disease

  6. PMR and GCA • Investigations: Plasma viscosity/ESR/CRP show inflammation • Other bloods and urine tests to exclude other conditions such as Rheumatoid Arthritis, Thyroid disease, Polymyositis, Malignant Disease

  7. PMR and GCA • Both conditions respond to glucocorticosteroids-Prednisolone • GCA needs urgent treatment with biopsy so therefore specialist referral • Dose usually starts high and then reduced over time with monitoring of symptoms and inflammatory blood markers • Treatment usually for 1-2 years • Bone protection with medication

  8. PMR and GCA • Specialist referral when fail to respond • Relapse is common • Local support group • Polymyalgia Rheumatica and Giant Cell Arteritis: a survival guide. 2nd Edition. Kate Gilbert ISBN: 1533523541

  9. PMR and GCA • Questions

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