Question

A 72-year-old woman presents with bilateral shoulder and hip girdle pain and stiffness worse in the morning, making it difficult to get out of bed. ESR and CRP are elevated, but RF and anti-CCP are negative. There is no temporal headache or visual symptoms. What is the most likely diagnosis?

Accepted Answer

Polymyalgia rheumatica

Answer

Osteoarthritis

Answer

Rheumatoid arthritis

Answer

Fibromyalgia

Answer

Ankylosing spondylitis

Practice question

A 72-year-old woman presents with bilateral shoulder and hip girdle pain and stiffness worse in the morning, making it difficult to get out of bed. ESR and CRP are elevated, but RF and anti-CCP are negative. There is no temporal headache or visual symptoms. What is the most likely diagnosis?