The old man had unexplained pain all over his body and had sought medical help from many doctors but to no avail. Uncle Liu (pseudonym), 70 years old, felt pain in his shoulders, waist and hips in early February. As Uncle Liu had cardiovascular and cerebrovascular diseases, when he was treated in another hospital, the doctor suspected that the myalgia was caused by taking statins and that he could test creatine kinase. However, Uncle Liu did not do the test and directly stopped taking statins that he had been taking for more than two years. He also did physical therapy at home, using plasters, medicinal wine and painkillers. (Picture source network, picture and text are unrelated) After a period of "self-treatment", Uncle Liu's pain in his shoulders, elbows and arms did not subside, and even spread to his fingers, causing numbness and discomfort. During this period, Uncle Liu repeatedly went to various departments of major hospitals for consultation, but the treatment had no effect. Unraveling the truth about the disease and solving the case in just ten seconds It was not until the beginning of March that Uncle Liu came to our hospital for a checkup of his blood lipids and other conditions. He accidentally came to the geriatric outpatient clinic to consult first. It happened that Director Wang Hui was on duty that day. After registering for medical treatment, Director Wang carefully asked about the patient's medical history, from the initial symptoms to each medical experience and interval time, and then to the practices and means he took. Director Wang asked and recorded them one by one. Combining Uncle Liu's medical history, manifestations, existing tests and examinations , combined with his rich clinical experience , it only took more than ten seconds for Director Wang to tell Uncle Liu with certainty: "Your muscle pain is not caused by taking statins, but rheumatic polymyalgia ." So he prescribed relevant tests for Uncle Liu, and when the results came out, they were indeed consistent with Director Wang's prediction. Because he stopped taking the medicine without authorization, the low-density lipoprotein cholesterol in his blood lipids has reached 4.65mmol/L. Under the guidance of the doctor, Uncle Liu continued to take the original medicine and went to the geriatric ward for further diagnosis and treatment of polymyalgia rheumatica. He has now recovered and been discharged from the hospital. Uncle Liu said: "If I hadn't met Director Wang's decisive diagnosis and determination, I would have continued to stop taking statins, which would have posed a threat to my cardiovascular and cerebrovascular systems. The causes of this kind of neuralgia involving muscles and bones and joints are complicated and intertwined. My evaluation of Director Wang is his medical skills and experience that hit the nail on the head and pointed directly to the source of the disease! I am very grateful to the hospital leaders, Director Wang and the Department of Geriatrics!" Popular Science Time: What is “Polymyalgia Rheumatica”? The root cause of the disease has been found, and Uncle Liu also said that he would strictly follow the doctor's instructions and actively cooperate with the treatment. Regarding "polymyalgia rheumatica", Director Wang has something to say to everyone: Polymyalgia rheumatica is a common rheumatic disease in adults. Muscle and joint symptoms: pain and stiffness in the shoulders, hips, neck or back muscles, which are more obvious at night and in the morning. In severe cases, the patient cannot get up on his own, has difficulty lifting his upper and lower limbs, cannot squat, and has difficulty using the toilet. There may also be swelling and stiffness in the hands, wrists, knees, ankles and feet. Other symptoms: When combined with giant cell arteritis, it may affect vision and even cause blindness in severe cases. So far, the cause of polymyalgia rheumatica is unknown, but it is speculated that it may be related to genetics, infection, aging, immune abnormalities, geographical environment, malignant tumors, etc. [ What kind of people are prone to polymyalgia rheumatica? 】 ****This disease is almost only seen in adults over 50 years old . The incidence rate gradually increases with age. The peak age of onset is 70-80 years old. It is more common in women , and the risk of women is about 2-3 times that of men. [ It can be cured, but it cannot heal itself! ] ****Polymyalgia rheumatica is a rheumatic disease and also a chronic disease. Most cases can be relieved with standardized treatment. It should be noted that this disease cannot heal itself , so patients should seek medical attention in a timely manner for early diagnosis and treatment . |
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