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PMR and Methotrexate

Polymyalgia Rheumatica (PMR) | Last Active: 15 hours ago | Replies (231)

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@dadcue

"I started on Methotrexate. It has reduced the swelling around my joints and I can walk better. It also took care of a rash I had which was in the end was psoriasis."
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This would make me suspect psoriatic arthritis.
https://www.mayoclinic.org/diseases-conditions/psoriatic-arthritis/symptoms-causes/syc-20354076
"The most commonly used disease-modifying antirheumatic drug (DMARD) is methotrexate (Trexall, Otrexup, others)."
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I don't think PMR can turn into Rheumatoid Arthritis or any other type of inflammatory arthritis. Sometimes PMR is misdiagnosed in the beginning. The other likely thing that happens is you may have PMR in addition to inflammmatory arthritis.
https://www.healthline.com/health/polymyalgia-rheumatica-vs-rheumatoid-arthritis#symptoms

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Replies to ""I started on Methotrexate. It has reduced the swelling around my joints and I can walk..."

Thank you for the suggestion. I had read it before.

I am pretty sure I had PMR for sure. I was off the Prednisone for 4 months when the C reactive Proteins and sedimentation rates went up.

I did not have any issues with my feet or hands with PMR.

I was also assessed for Giant cell. It is a special scan of my blood vessels. There are only a half of dozen or so of these scanners in Canada.

They found only inflammation that would suggest RA.

I have a Rheumotologist here in Victoria and another one in Vancouver.

The methotrexate is working well. Just nausea and tiredness for side affects.

Being on the prednisone turned me into an angry person i.e. changed my personality and I was suicidal.

I also put on a lot of weight in the year and half I was placed on it.

Actually, I am grateful, it is RA as the methotrexate is easier to take. Apparently late onset RA is more difficult to diagnose. I wish you well.