Three cases of polymyalgia rheumatica with onset under age 50 are described. Most large series of patients with this entity contain a few examples of onset below age 50. This diagnosis should be made with confidence in younger patients with typical symptoms and laboratory findings, and showing complete suppressions of disease activity with relatively small daily doses (20 mg or less) of corticosteroids.
(Arch Intern Med 139:743-744, 1979)
Dailey MP, McCarty DJ. Polymyalgia Rheumatica Begins at 40. Arch Intern Med. 1979;139(7):743–744. doi:10.1001/archinte.1979.03630440013007
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