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@munchie

e a isort of unrelated question..i keep reading peoples bio's and the one thing in common is that they go into remission..nobody says they are cured!! my rhematologist speaks about the disease lasting a year or two and then resolving..who is correct?

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Replies to "e a isort of unrelated question..i keep reading peoples bio's and the one thing in common..."

@munchie, I really don't think anyone doctor or patient really knows the answer to your question. I've had two occurrences of PMR with 6 years in between them. The first one lasted 3 and half years before I could taper off of the 20 mg prednisone used at the start to control the pain and inflammation. The second one last 1 and half years before I could taper off of the same 20 mg dosage. I'm sure others have similar experiences. My Mayo rheumatologist also told me that the disease/condition stays with you but just is under control or in remission.

Here's some more info I found that kind of infers the same ... "However, they do not cure the disease. The low-dose corticosteroids used in PMR are almost certainly ineffective in the prevention of vasculitis progression. It has been found that remission of PMR seemed to be achieved with a 15-mg/d dose of prednisone for most patients. Jun 20, 2012" -- Polymyalgia Rheumatica: A Severe, Self-Limiting Disease: https://www.uspharmacist.com/article/polymyalgia-rheumatica-a-severe-self-limiting-disease

@kmeikle1 - The 2 year average comes from the articles similar to the one above from 2012 that contains this excerpt - "Approximately 50% to 75% of patients can discontinue corticosteroid therapy after 2 years of treatment, and patients with PMR should be monitored regularly and carefully for symptoms and signs suggestive of GCA development.11".

Definition of remission and relapse in polymyalgia rheumatica: data from a literature search compared with a Delphi-based expert consensus: https://ard.bmj.com/content/70/3/447