Question

A 65-year-old woman presents with polymyalgia rheumatica (PMR)-type symptoms of proximal muscle pain and stiffness in shoulders and hips for a few weeks. Inflammatory markers are elevated. There are no features of giant cell arteritis. Which treatment is first-line?

Accepted Answer

Low-dose prednisolone (10-20 mg daily)

Answer

High-dose prednisolone (40-60 mg daily)

Answer

Methotrexate

Answer

NSAIDs alone

Answer

Biologic therapy

Practice question

A 65-year-old woman presents with polymyalgia rheumatica (PMR)-type symptoms of proximal muscle pain and stiffness in shoulders and hips for a few weeks. Inflammatory markers are elevated. There are no features of giant cell arteritis. Which treatment is first-line?