Polymyalgia Rheumatica Clinical features. Pain and stiffness in the neck, shoulder, and pelvic girdle.
Symptoms are bilateral and symmetric and more prolonged in the morning.
May have diffuse aching. Systemic features such as low-grade fever, fatigue, and weight loss. ESR and C-reactive protein are elevated with ESR elevation of 50 to 100 mm common. Rule out other causes such as claudication, hypothyroidism, myositis. Patients may have normocytic, normochromic anemia.