Replies to I’m stepping back a little and maybe get another opinion on the PMR diagnosis possibly by…

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Polymyalgia Rheumatica (PMR) | Last Active: 4 days ago | Replies (38)

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@weten2

I’m stepping back a little and maybe get another opinion on the PMR diagnosis possibly by a RA. I haven’t gone on prednisone yet other than the two day 50mg diagnostic test. I’m most likely going to postpone surgery until I get confirmation or cure/remission.
Haven’t talked to surgeon and have 10 days to do so.
Doc’s plan was do surgery first then prednisone.

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Replies to "I’m stepping back a little and maybe get another opinion on the PMR diagnosis possibly by..."

DadCue | @dadcue | 5 days ago

Who did the two day 50 mg "diagnostic test." No such thing that I know about. Many conditions will respond to 50 mg of Prednisone.

"A rapid resolution of symptoms in response to prednisolone 15 mg daily was previously thought to represent a diagnostic surrogate for polymyalgia rheumatica. However, a small proportion of patients do not respond to three weeks of this therapy so it cannot be used to make the diagnosis."
https://pmc.ncbi.nlm.nih.gov/articles/PMC5828929/
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This is an Australian source but they seem to know more than most!

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