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Polymyalgia Rheumatica with Normal Inflammatory Markers

Published:February 21, 2018DOI:https://doi.org/10.1016/j.amjmed.2018.01.035
      A 70-year-old man presented with pain in his shoulders, low back, and thighs for 1 year. He had difficulties when changing clothes, taking a bath, and getting out of bed because all these body movements aggravated the pain. He also experienced morning stiffness for 1 hour. Although his weight decreased by 5 kg because of loss of appetite, he denied any nausea, diarrhea, depressed mood, fever, headache, visual disturbance, or jaw claudication. His medical history included diabetes mellitus with maintained hemoglobin A1c levels of <7% and dyslipidemia, for which he was taking 50 mg sitagliptin, 0.5 mg glimepiride, 750 mg metformin, and 2.5 mg rosuvastatin daily.
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