Clinical Pearls and Myths in Vasculitis

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Polymyalgia RheumaticaIf a Patient with Polymyalgia RheumaticaConsistently Requires More Than 20Milligrams of Prednisone a Day to Controlthe Disease Symptoms, the Diagnosis IsProbably WrongPearl or Myth?
Polymyalgia Rheumatica:PearlA dose of 15 mg/d of prednisone is sufficient to controlmost cases of PMRFailure of 20 mg of prednisone administered in divideddoses to control the patient’s symptoms should certainlymake one rethink the diagnosis and consider such entitiesas GCA (which may require higher initial corticosteroidsdoses), cancer (renal cell carcinoma, sarcoma, multiplemyeloma, and other hematopoietic malignancies), andamyloidosis
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Clinical Pearls and Myths in Vasculitis

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