Case of the Week | February 12, 2021

Case of Myalgias and Muscle Stiffness

A 66-year-old female without a significant past medical history presents to the office reporting a several month history of diffuse myalgias, particularly in the shoulders, neck, and hips, as well as muscle “stiffness”. She states these symptoms seem to be worse in the morning and improve throughout the day though are becoming more troublesome and affecting her day-to-day life. She has had some intermittent, unilateral headaches without vision change, facial pain, or other symptoms. The only notable laboratory abnormalities are the ESR and CRP, which are markedly elevated. What is the most likely diagnosis? 

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