{"id":"https://openalex.org/W7225156355","doi":"https://doi.org/10.1093/rap/rkag113.106","title":"P076 Spontaneous remission of polymyalgia rheumatica without treatment","display_name":"P076 Spontaneous remission of polymyalgia rheumatica without treatment","publication_year":2026,"publication_date":"2026-11-01","ids":{"openalex":"https://openalex.org/W7225156355","doi":"https://doi.org/10.1093/rap/rkag113.106"},"language":"en","primary_location":{"id":"doi:10.1093/rap/rkag113.106","doi":"https://doi.org/10.1093/rap/rkag113.106","is_oa":true,"landing_page_url":"https://doi.org/10.1093/rap/rkag113.106","pdf_url":"https://academic.oup.com/rheumap/article-pdf/10/Supplement_1/rkag113.106/72372010/rkag113.106.pdf","source":{"id":"https://openalex.org/S2735938563","display_name":"Rheumatology Advances in Practice","issn_l":"2514-1775","issn":["2514-1775"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Rheumatology Advances in Practice","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://academic.oup.com/rheumap/article-pdf/10/Supplement_1/rkag113.106/72372010/rkag113.106.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5023418884","display_name":"Tony Yap","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210092187","display_name":"Basingstoke and North Hampshire Hospital","ror":"https://ror.org/01bbyhp53","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I312843336","https://openalex.org/I4210092187"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Tony Yap","raw_affiliation_strings":["Basingstoke and North Hampshire Hospital , Basingstoke,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Basingstoke and North Hampshire Hospital , Basingstoke,","institution_ids":["https://openalex.org/I4210092187"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5108922509","display_name":"Mariam Malik","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210092187","display_name":"Basingstoke and North Hampshire Hospital","ror":"https://ror.org/01bbyhp53","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I312843336","https://openalex.org/I4210092187"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Mariam Malik","raw_affiliation_strings":["Basingstoke and North Hampshire Hospital , Basingstoke,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Basingstoke and North Hampshire Hospital , Basingstoke,","institution_ids":["https://openalex.org/I4210092187"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210092187"],"apc_list":{"value":2255,"currency":"GBP","value_usd":2974},"apc_paid":{"value":2255,"currency":"GBP","value_usd":2974},"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"10","issue":"Supplement_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10697","display_name":"Vasculitis and related conditions","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10697","display_name":"Vasculitis and related conditions","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14015","display_name":"Otitis Media and Relapsing Polychondritis","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10200","display_name":"Rheumatoid Arthritis Research and Therapies","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/polymyalgia-rheumatica","display_name":"polymyalgia rheumatica","score":0.996999979019165},{"id":"https://openalex.org/keywords/spontaneous-regression","display_name":"spontaneous regression","score":0.996999979019165},{"id":"https://openalex.org/keywords/conservative-treatment","display_name":"conservative treatment","score":0.8640000224113464},{"id":"https://openalex.org/keywords/giant-cell-arteritis","display_name":"giant cell arteritis","score":0.847000002861023},{"id":"https://openalex.org/keywords/c-reactive-protein","display_name":"C-reactive protein","score":0.7710000276565552},{"id":"https://openalex.org/keywords/erythrocyte-sedimentation-rate","display_name":"erythrocyte sedimentation rate","score":0.9990000128746033},{"id":"https://openalex.org/keywords/hypothyroidism","display_name":"hypothyroidism","score":0.5189999938011169}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9585999846458435},{"id":"https://openalex.org/C2780079024","wikidata":"https://www.wikidata.org/wiki/Q1752891","display_name":"Polymyalgia rheumatica","level":5,"score":0.8490999937057495},{"id":"https://openalex.org/C2779788118","wikidata":"https://www.wikidata.org/wiki/Q1542410","display_name":"Thrombocytosis","level":3,"score":0.7322999835014343},{"id":"https://openalex.org/C2776712624","wikidata":"https://www.wikidata.org/wiki/Q707816","display_name":"Giant cell arteritis","level":4,"score":0.7124000191688538},{"id":"https://openalex.org/C2778143017","wikidata":"https://www.wikidata.org/wiki/Q111208","display_name":"Erythrocyte sedimentation rate","level":2,"score":0.642799973487854},{"id":"https://openalex.org/C2776434150","wikidata":"https://www.wikidata.org/wiki/Q1639997","display_name":"Spontaneous remission","level":3,"score":0.63919997215271},{"id":"https://openalex.org/C2778616394","wikidata":"https://www.wikidata.org/wiki/Q474959","display_name":"myalgia","level":2,"score":0.5587000250816345},{"id":"https://openalex.org/C2780966972","wikidata":"https://www.wikidata.org/wiki/Q86","display_name":"Headaches","level":2,"score":0.4693000018596649},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.39559999108314514},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3831999897956848},{"id":"https://openalex.org/C2779244835","wikidata":"https://www.wikidata.org/wiki/Q538432","display_name":"Synovitis","level":3,"score":0.352400004863739},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.34869998693466187},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.3375000059604645},{"id":"https://openalex.org/C2776715498","wikidata":"https://www.wikidata.org/wiki/Q11426176","display_name":"Prednisolone","level":2,"score":0.33469998836517334},{"id":"https://openalex.org/C2781343717","wikidata":"https://www.wikidata.org/wiki/Q1751810","display_name":"Arteritis","level":2,"score":0.32339999079704285},{"id":"https://openalex.org/C2777402515","wikidata":"https://www.wikidata.org/wiki/Q52849","display_name":"Ankylosing spondylitis","level":2,"score":0.3224000036716461},{"id":"https://openalex.org/C2777325788","wikidata":"https://www.wikidata.org/wiki/Q16363","display_name":"Shoulders","level":2,"score":0.3172000050544739},{"id":"https://openalex.org/C2777802486","wikidata":"https://www.wikidata.org/wiki/Q491741","display_name":"Neutrophilia","level":2,"score":0.296099990606308},{"id":"https://openalex.org/C2778720950","wikidata":"https://www.wikidata.org/wiki/Q424972","display_name":"Prednisone","level":2,"score":0.2953000068664551},{"id":"https://openalex.org/C2778310968","wikidata":"https://www.wikidata.org/wiki/Q14536140","display_name":"Exertion","level":2,"score":0.2924000024795532},{"id":"https://openalex.org/C2778674544","wikidata":"https://www.wikidata.org/wiki/Q1414805","display_name":"Systemic disease","level":3,"score":0.2906999886035919},{"id":"https://openalex.org/C2776625714","wikidata":"https://www.wikidata.org/wiki/Q524353","display_name":"Erythromelalgia","level":2,"score":0.2881999909877777},{"id":"https://openalex.org/C2776015282","wikidata":"https://www.wikidata.org/wiki/Q644318","display_name":"Vasculitis","level":3,"score":0.2815000116825104},{"id":"https://openalex.org/C2778488018","wikidata":"https://www.wikidata.org/wiki/Q42395","display_name":"White blood cell","level":2,"score":0.2791000008583069},{"id":"https://openalex.org/C2778594517","wikidata":"https://www.wikidata.org/wiki/Q2260058","display_name":"Chills","level":2,"score":0.27869999408721924},{"id":"https://openalex.org/C2777870961","wikidata":"https://www.wikidata.org/wiki/Q1292082","display_name":"Sore throat","level":2,"score":0.27480000257492065},{"id":"https://openalex.org/C2778715236","wikidata":"https://www.wikidata.org/wiki/Q55622662","display_name":"Discontinuation","level":2,"score":0.2703999876976013},{"id":"https://openalex.org/C2778963770","wikidata":"https://www.wikidata.org/wiki/Q2888709","display_name":"Claudication","level":4,"score":0.2702000141143799}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1093/rap/rkag113.106","doi":"https://doi.org/10.1093/rap/rkag113.106","is_oa":true,"landing_page_url":"https://doi.org/10.1093/rap/rkag113.106","pdf_url":"https://academic.oup.com/rheumap/article-pdf/10/Supplement_1/rkag113.106/72372010/rkag113.106.pdf","source":{"id":"https://openalex.org/S2735938563","display_name":"Rheumatology Advances in Practice","issn_l":"2514-1775","issn":["2514-1775"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Rheumatology Advances in Practice","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13728579","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13728579/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13728579/pdf/rkag113.106.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Rheumatol Adv Pract","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/rap/rkag113.106","doi":"https://doi.org/10.1093/rap/rkag113.106","is_oa":true,"landing_page_url":"https://doi.org/10.1093/rap/rkag113.106","pdf_url":"https://academic.oup.com/rheumap/article-pdf/10/Supplement_1/rkag113.106/72372010/rkag113.106.pdf","source":{"id":"https://openalex.org/S2735938563","display_name":"Rheumatology Advances in Practice","issn_l":"2514-1775","issn":["2514-1775"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Rheumatology Advances in Practice","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225156355.pdf","grobid_xml":"https://content.openalex.org/works/W7225156355.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2110967659","https://openalex.org/W4299702954","https://openalex.org/W2415217694","https://openalex.org/W2505945084","https://openalex.org/W2055856873","https://openalex.org/W2020326857","https://openalex.org/W2892038205","https://openalex.org/W7225161917","https://openalex.org/W3196362431","https://openalex.org/W4281492063"],"abstract_inverted_index":{"Abstract":[0],"Introduction":[1],"Polymyalgia":[2,404,642],"rheumatica":[3,405,643],"(PMR)":[4,644],"is":[5,28,415,422,432,489,545,575,578,584,606,645,659,672,684,744,752,762],"a":[6,85,108,122,125,142,197,276,433,549,696,866],"common":[7],"inflammatory":[8,647],"disease":[9,626,707],"with":[10,21,79,111,181,338,397,492,505,561,675,710],"rapid":[11,462],"onset":[12],"inflammatory-type":[13],"pain":[14,617,662],"and":[15,48,65,71,98,115,120,147,163,190,230,253,259,273,282,290,296,302,308,326,332,348,356,377,430,449,459,501,515,525,541,581,618,622,663,668,671,708,731,749,760,807,818,838,847,857,884,898,908],"stiffness":[16,619,664],"around":[17],"proximal":[18,255],"girdles":[19],"often":[20,691],"systemic":[22],"symptoms,":[23,216],"commonly":[24,475],"above":[25,43],"50-years-old.":[26],"There":[27,234],"usually":[29,423,753],"an":[30,206,646,676,763,824],"increase":[31],"in":[32,604,616,631,665],"erythrocyte":[33],"sedimentation":[34],"rate":[35],"(ESR)":[36],"and/or":[37],"C-reactive":[38],"protein":[39],"(CRP).":[40],"An":[41],"ESR":[42,148,283],"40mm/hr":[44],"can":[45,62,406,427,439,735,757,841],"be":[46,418,428,528,714,747,758,828,836,842],"diagnostic":[47,539],"prognosticating.":[49],"About":[50],"15%":[51],"of":[52,74,87,96,107,113,149,187,193,208,242,248,250,267,278,360,369,394,399,435,447,452,470,498,513,656,682,766,803,816,820,853,888],"PMR":[53,88,438,544,587,605,722,734],"patients":[54,632,791],"have":[55,63,773,865],"concurrent":[56],"giant":[57,370,767],"cell":[58,153,371,768],"arteritis":[59],"(GCA)":[60],"which":[61,200,474,690,725],"sight-threatening":[64],"ischaemic":[66],"complications":[67,907],"urging":[68],"early":[69,209],"diagnosis":[70],"treatment.":[72],"Management":[73],"both":[75,251,495],"include":[76],"high-dose":[77],"glucocorticoids":[78,686],"subsequent":[80],"tapering":[81,477],"regime.":[82],"We":[83,103],"present":[84,104],"case":[86,106,799],"that":[89,139,649,911],"was":[90,155,160,171,222,235,314,345,375,535],"managed":[91],"conservatively,":[92],"achieving":[93],"spontaneous":[94,573],"resolution":[95,393],"symptoms":[97,177,396,426,756,910],"biochemical":[99,401],"picture.":[100],"Case":[101],"description":[102],"the":[105,168,329,366,400,456,466,496,502,509,654,666,750,783,801,851,870,889,896],"70-year-old":[109],"lady":[110],"background":[112],"hypothyroidism":[114],"hypertension.":[116],"She":[117,203,212,221,244],"reported":[118,204,392,564,775],"fever":[119],"cough":[121],"week":[123],"after":[124,795],"dental":[126],"filling":[127],"about":[128,185,205,385,831],"2":[129],"months":[130,387],"prior":[131],"to":[132,134,173,228,328,417,441,537,565,569,585,593,716,728,746,776,827,844,880,895,904],"presentation":[133],"rheumatology.":[135],"Initial":[136],"bloods":[137],"at":[138,145,157,165,184],"time":[140,169],"showed":[141,275,318],"raised":[143,156],"CRP":[144,277],"196mg/L":[146,281],"106mm/hr.":[150,286],"Her":[151,257],"white":[152],"count":[154],"12.9x109/L,":[158],"Hb":[159],"109":[161],"g/L":[162],"thrombocytosis":[164],"675x109/L.":[166],"By":[167],"she":[170,344,391],"referred":[172],"Rheumatology,":[174],"her":[175,395],"initial":[176],"had":[178,201,245],"mostly":[179],"resolved":[180],"residual":[182],"myalgia":[183],"70%":[186],"baseline,":[188],"fatigue":[189],"weight":[191],"loss":[192,446],"3-4":[194],"kg":[195],"over":[196,323,478,653],"few":[198,697],"weeks":[199],"stabilised.":[202],"hour":[207],"morning":[210],"stiffness.":[211],"denied":[213],"any":[214,240,265],"visual":[215],"headaches":[217],"or":[218,239,511,601,916],"infective":[219],"symptoms.":[220],"recently":[223],"seen":[224],"by":[225,661],"opticians":[226],"due":[227],"floaters":[229],"cataracts":[231],"were":[232,271,292,311,336,341,363],"detected.":[233],"no":[236,254,718],"clinical":[237],"synovitis":[238],"signs":[241],"GCA.":[243,436],"good":[246],"range":[247,566],"movement":[249],"shoulders":[252,667],"weakness.":[256],"temporal":[258],"axillary":[260],"ultrasound":[261],"did":[262,634],"not":[263,346,579,635,821],"show":[264],"evidence":[266,552,871],"vasculitis.":[268],"Blood":[269],"tests":[270],"repeated":[272],"these":[274],"67mg/L":[279],"from":[280,285,567],"73mm/hr":[284],"RF,":[287],"anti-CCP,":[288],"ANA":[289],"ANCA":[291],"negative.":[293,312],"Myeloma":[294],"screen":[295],"thyroid":[297],"function":[298],"normal.":[299,315],"Hepatitis":[300],"B":[301],"C,":[303],"HIV,":[304],"CMV,":[305],"EBV,":[306],"Parvovirus":[307],"blood":[309],"cultures":[310],"Echocardiogram":[313],"PET":[316],"CT":[317],"mild":[319],"increased":[320],"tracer":[321],"uptake":[322],"interspinous":[324],"bursae":[325],"adjacent":[327],"greater":[330],"trochanters":[331],"ischial":[333],"tuberosities;":[334],"findings":[335],"consistent":[337],"PMR.":[339],"Steroids":[340],"offered":[342],"but":[343,413,742,779],"keen":[347],"preferred":[349],"taking":[350],"herbal":[351,862],"medications":[352],"-":[353],"Boswellia,":[354],"ginger":[355],"curcumin.":[357],"The":[358,420,680],"risks":[359,503],"foregoing":[361],"treatment":[362,458,558,683,793,817],"discussed,":[364],"including":[365,508,523],"potential":[367,467,729],"development":[368,510],"arteritis.":[372,769],"Safety-net":[373],"advice":[374,894],"provided":[376],"follow":[378],"up":[379],"arranged":[380],"for":[381,591,599,702,823,906],"careful":[382],"monitoring.":[383],"At":[384],"9":[386],"review":[388],"since":[389],"onset,":[390],"normalisation":[398],"profile.":[402],"Discussion":[403],"occasionally":[407,736],"go":[408,737],"into":[409,738],"remission":[410,574,739],"without":[411,557,740],"treatment,":[412,507,741],"this":[414,531,743],"thought":[416,745],"uncommon.":[419],"condition":[421,648,751],"treated":[424,754],"as":[425,548,688,812,850],"severe":[429,759],"there":[431,761],"risk":[434,765],"Untreated":[437],"lead":[440,727],"prolonged":[442,471],"pain,":[443],"stiffness,":[444],"fatigue,":[445],"function,":[448],"reduced":[450],"quality":[451],"life.":[453],"Glucocorticoids":[454],"remain":[455],"first-line":[457],"typically":[460,650,673],"provide":[461],"symptom":[463,562],"relief.":[464],"However,":[465],"adverse":[468],"effects":[469,833],"corticosteroid":[472],"therapy,":[473],"requires":[476],"approximately":[479],"12":[480],"months,":[481],"may":[482,726,864,912],"significantly":[483],"influence":[484],"patient":[485,897],"preference.":[486],"Shared":[487],"decision-making":[488],"therefore":[490],"essential,":[491],"counselling":[493],"addressing":[494],"benefits":[497,815],"glucocorticoid":[499],"therapy":[500],"associated":[504,674,764],"declining":[506],"unmasking":[512],"GCA":[514],"its":[516,554,596],"potentially":[517],"serious":[518],"complications.":[519],"Simultaneously,":[520],"alternative":[521,602],"diagnoses,":[522],"vasculitis":[524],"malignancy,":[526,704],"should":[527,834],"excluded.":[529],"In":[530],"case,":[532],"whole-body":[533],"PET-CT":[534],"undertaken":[536,715],"minimise":[538],"uncertainty":[540],"mimics.":[542],"Although":[543],"generally":[546],"regarded":[547],"self-limiting":[550],"condition,":[551],"regarding":[553],"natural":[555,785],"history":[556,786],"remains":[559,872],"limited,":[560],"duration":[563],"1":[568],"5":[570],"years.":[571],"While":[572],"possible,":[576],"it":[577,592],"predictable,":[580],"current":[582],"practice":[583],"treat":[586],"rather":[588],"than":[589],"wait":[590],"resolve":[594],"on":[595,782],"own.":[597],"Evidence":[598],"non-pharmacological":[600,623],"therapies":[603],"similarly":[607],"limited.":[608,873],"One":[609],"small":[610],"comparative":[611],"study":[612],"demonstrated":[613],"comparable":[614],"improvements":[615],"between":[620],"pharmacological":[621],"management,":[624,891],"although":[625,869],"flares":[627],"occurred":[628],"more":[629],"frequently":[630],"who":[633],"receive":[636,792],"glucocorticoids.":[637],"Key":[638],"learning":[639],"points":[640],"1.":[641],"affects":[651],"adults":[652],"age":[655],"50.":[657],"It":[658],"characterised":[660],"pelvic":[669],"girdle":[670],"acute":[677],"phase":[678],"response.":[679],"mainstay":[681],"low-dose":[685],"(such":[687],"prednisolone),":[689],"produce":[692],"marked":[693],"improvement":[694],"within":[695],"days.":[698],"2.":[699],"Investigative":[700],"pathways":[701],"GCA,":[703],"connective":[705],"tissue":[706],"myopathy":[709],"thorough":[711],"examination":[712],"must":[713],"ensure":[717],"underlying":[719],"diagnoses":[720],"mimicking":[721],"are":[723,787,878,902],"missed":[724],"morbidity":[730],"mortality.":[732],"3.":[733],"uncommon,":[748],"because":[755,789],"Historically,":[770],"untreated":[771,784],"cases":[772],"been":[774],"remit":[777],"spontaneously,":[778],"high-quality":[780],"data":[781],"limited":[788],"most":[790],"soon":[794],"diagnosis.":[796],"4.":[797],"This":[798],"underscores":[800],"importance":[802],"open":[804],"doctor-patient":[805],"communication":[806],"partnership,":[808],"presenting":[809],"information":[810],"such":[811,849],"rationale,":[813],"risks,":[814],"consequences":[819],"treating":[822],"informed":[825],"decision":[826],"reached.":[829],"Concerns":[830],"side":[832],"also":[835],"addressed":[837],"how":[839],"they":[840],"mitigated":[843],"improve":[845],"tolerance":[846],"compliance,":[848],"use":[852],"proton":[854],"pump":[855],"inhibitors":[856],"bone":[858],"protection.":[859],"5.":[860],"Complementary":[861],"remedies":[863],"beneficial":[867],"role,":[868],"More":[874],"robust":[875],"research":[876],"studies":[877],"needed":[879],"evaluate":[881],"their":[882],"efficacy":[883],"safety.":[885],"6.":[886],"Regardless":[887],"chosen":[890],"providing":[892],"safety-net":[893],"arranging":[899],"regular":[900],"follow-ups":[901],"important":[903],"monitor":[905],"evolving":[909],"necessitate":[913],"further":[914],"investigations":[915],"revisiting":[917],"management":[918],"options.":[919]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2026-11-04T00:00:00"}