Polymyalgia rheumatica associated with 1) raised creatinine kinase 2) increased alkaline phosphotase 3) sudden loss of vision in one eye 4) shoulder and pelvic girdle pain in 40 year old man 5) erythema nodosum

Polymyalgia rheumatica associated with 1) raised creatinine kinase 2) increased alkaline phosphotase 3) sudden loss of vision in one eye 4) shoulder and pelvic girdle pain in 40 year old man 5) erythema nodosum
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Answers-2 Liver enzymes elevated in most patients. Visual disturbances suggestive of temporal arteritis, due to ischaemic changes in ciliary arteries (optic neuritis/infarction) and less commonly due to central artery occlusion. Raised CK in polymyositis. PMR is rare before the age of 50 years.
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