Algorithm for Diagnosing Polymyalgia Rheumatica Without Giant Cell Arteritis - Flowchart
Algorithm for Diagnosing Polymyalgia Rheumatica Without Giant Cell Arteritis - Flowchart Polymyalgia Rheumatica Polymyalgia Rheumatica
«Flowchart»

Polymyalgia rheumatica without giant cell arteritis suspected

Polymyalgia rheumatica without giant cell arteritis suspected

Polymyalgia rheumatica without giant cell arteritis suspected

Prednisone up to 20 mg/day for 7 days

Prednisone up to 20 mg/day for 7 days

Prednisone up to 20 mg/day for 7 days

Diagnosis supported

Diagnosis supported

Diagnosis supported

Increase prednisone to 30 mg/day for ~7 days

Increase prednisone to 30 mg/day for ~7 days

Increase prednisone to 30 mg/day for ~7 days

Continue to monitor for emergence of giant cell arteritis

Continue to monitor for emergence of giant cell arteritis

Continue to monitor for emergence of giant cell arteritis

Reject diagnosis of polymyalgia rheumatica; search for alternative diagnosis

Reject diagnosis of polymyalgia rheumatica; search for alternative diagnosis

Reject diagnosis of polymyalgia rheumatica; search for alternative diagnosis

End

End

End

Excellent response

Excellent response

Excellent response

No or poor response after ~7 days

No or poor response after ~7 days

No or poor response

Excellent response

Excellent response

Excellent response

No response to prednisone 30 mg/day

No response to prednisone 30 mg/day

No response to prednisone