USMLE Forum Archives - USMLE Step 3 - Temporal arteritis
Temporal arteritis
zkadhem - 06-07-09 14:11 Bookmark and Share

Patient with temporal arteritis on high dose prednisone.
How will you taper the prednisone? On what will you depend?

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#1
Re: Temporal arteritis
conym5 - 06-17-09 02:39

ESR
Temporal artery biopsy results

#2
Re: Temporal arteritis
mtniharika - 11-22-09 03:26

The dose of prednisone is lowered after a 2–4 weeks, and slowly tapered over the course of 9–12 months.

Steroids do not prevent the diagnosis from later being confirmed by biopsy, although certain changes in the histology may be observed towards the end of the first week of treatment and are more difficult to identify after a couple of months

#3
Re: Temporal arteritis
babbu5508 - 02-23-11 02:02

Corticosteroids, typically high-dose prednisone (40–60 mg bd), must be started as soon as the diagnosis is suspected (even before the diagnosis is confirmed by biopsy) to prevent irreversible blindness secondary to ophthalmic artery occlusion.

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