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风湿性多肌痛可以是逐渐发病或突发性发病,虽然有些病人一开始就需要做动脉活组织检查来确诊,但却不应等检查完才治疗。若出现多肌痛症状,可给予泼尼松龙或泼尼松15mg/日,开始是分剂量口服,很多病人10mg/日就足以产生显著反应,若症状加重,剂量以后可逐渐降至原剂量。有些病人2～3年就可痊愈,但很多则需5～6年乃至10～12年甚至更长时间。在病情缓解之前,减少或终止皮质类固醇治疗均可使症状复发,有些可伴有视觉或其他动脉炎症状,但失明较少出现。另外多肌痛病人常伴有骨关节炎,故有必要鉴别骨关
Polymyalgia rheumatica can be a progressive or sudden onset, although some patients need to do arterial biopsy to confirm the beginning, but should not wait until after treatment. If symptoms of polymyalgia can be given prednisolone or prednisone 15mg / day, the beginning is divided doses of oral administration, many patients 10mg / day is sufficient to produce a significant response, if the symptoms get worse, the dose can be gradually reduced to the original dose . Some patients can be cured within 2 to 3 years, but many require 5 to 6 years or even 10 to 12 years or even longer. Prior to remission, reduction or termination of corticosteroid treatment may cause symptoms to recur, some may be accompanied by visual or other arteritis symptoms, but less blindness occurs. In addition, patients with polymyalgia often accompanied by osteoarthritis, it is necessary to identify bone off