What are the differential diagnoses, recommended diagnostic tests, and management plan for a 54‑year‑old German patient with a >10‑year history of a steroid‑responsive inflammatory condition involving progressive muscle weakness, elevated CK and myoglobin, PET‑CT muscle FDG uptake, Raynaud phenomenon, aortic ectasia, coronary calcification, edema, and comorbidities including hypertension, obesity (BMI ≈ 38), obstructive sleep apnea, hypercholesterolemia, hyperuricemia, and a clinical diagnosis of polymyalgia rheumatica?

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  "question": "What are the differential diagnoses, recommended diagnostic tests, and management plan for a 54-year-old patient from [COUNTRY] with a >10-year history of a steroid-responsive inflammatory condition involving progressive muscle weakness, elevated CK and myoglobin, PET-CT muscle FDG uptake, Raynaud phenomenon, aortic ectasia, coronary calcification, edema, and comorbidities including hypertension, obesity (BMI ≈ 38), obstructive sleep apnea, hypercholesterolemia, hyperuricemia, and a clinical diagnosis of polymyalgia rheumatica?"
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