What is a major characteristic symptom of polymyalgia rheumatica?

Polymyalgia rheumatica is characterized mainly by prototypical symptoms of muscle stiffness and pain, often affecting the shoulders, neck, and hips. A significant component of the condition is the presence of a low-grade fever, which can accompany the myalgias and serve as an indicator of underlying inflammation. The low-grade fever typically reflects the body’s response to inflammation, which is a hallmark of polymyalgia rheumatica.

In addition to fever, patients commonly experience widespread muscle pain and stiffness, particularly in the morning or after periods of inactivity. Importantly, while this condition can lead to considerable discomfort and affects physical activity, it does not typically lead to visual disturbances, significant weight gain, or joint deformities, which are associated with other conditions. The core presenting symptoms, such as muscle discomfort and low-grade fever, help differentiate polymyalgia rheumatica from other rheumatologic disorders.