Question

A 58-year-old woman presents with a 6-month history of progressively worsening bilateral shoulder and hip girdle pain and stiffness, particularly severe in the mornings and improving with activity. She also reports malaise and weight loss. Her ESR is 85 mm/hr. What is the most likely diagnosis?

Accepted Answer

Polymyalgia rheumatica

Answer

Osteoarthritis

Answer

Rheumatoid arthritis

Answer

Fibromyalgia

Answer

Systemic lupus erythematosus

Practice question

A 58-year-old woman presents with a 6-month history of progressively worsening bilateral shoulder and hip girdle pain and stiffness, particularly severe in the mornings and improving with activity. She also reports malaise and weight loss. Her ESR is 85 mm/hr. What is the most likely diagnosis?