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MediumRheumatologyPolymyalgia Rheumatica (PMR)ukmlamrcgp aktpanemrcp part 1prescribing safety assessment

A 72-year-old woman presents with a 4-week history of stiffness and pain in her shoulders and pelvic girdle, worse in the mornings and lasting over an hour. She reports fatigue and low-grade fever. Blood tests show ESR 65 mm/hr and CRP 40 mg/L. Rheumatoid factor is negative. She denies headache or visual symptoms. What is the most appropriate initial management?

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