One Painful Shoulder and Edema in PMR
The review article that Jeff brought in says that while shoulder pain is usually symmetric in polymyalgia rheumatica (PMR), it can begin as unilateral (as in our patient).
We also had talked about edema and its causes in our patient, uncertain if this could be associated with PMR. Yes, edema "of the dorsum of the hands and wrists, as well as of the ankles and tops of the feet" can be a distal manifestation of PMR.
