Which condition presents with shoulder and hip stiffness, pain, and increased ESR?

Polymyalgia rheumatica is characterized by bilateral shoulder and hip stiffness accompanied by pain, particularly in the morning or after periods of inactivity. This condition typically affects older adults, particularly those over the age of 50, and is often associated with an elevated erythrocyte sedimentation rate (ESR), indicating systemic inflammation.

Patients with polymyalgia rheumatica often describe difficulties with daily activities due to the stiffness and pain experienced in the proximal muscles. Unlike rheumatoid arthritis, which predominantly affects the joints and can lead to deformities, polymyalgia rheumatica typically does not result in joint damage. It is also important to note the relationship of polymyalgia rheumatica with giant cell arteritis; individuals with polymyalgia rheumatica have an increased risk of developing this condition, which can lead to serious complications such as vision loss.

In summary, the presentation of shoulder and hip stiffness alongside pain and notable increased ESR aligns closely with polymyalgia rheumatica, making it the most fitting diagnosis among the choices provided.