title: An unusual presentation of polymyalgia rheumatica with severe muscle weakness.
abstract: An 83-year-old woman suddenly developed profound weakness of proximal and distal muscles in both upper limbs. Electromyography revealed abnormal changes but serum creatine kinase was normal. The weakness responded dramatically to steroid therapy. These unusual features of polymyalgia rheumatica are discussed.
authors.affiliation: Department of Medicine for the Elderly, Charing Cross Hospital, London.
authors.forename: M
authors.initials: M
authors.lastname: Radhamanohar
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004576:Electromyography; D005221:Fatigue; D005260:Female; D006801:Humans; D009132:Muscles / Q000503:physiopathology*; D011111:Polymyalgia Rheumatica / Q000150:complications* / Q000503:physiopathology