12.07.2015 Views

Clinical Pearls and Myths in Vasculitis

Clinical Pearls and Myths in Vasculitis

Clinical Pearls and Myths in Vasculitis

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Polymyalgia Rheumatica:PearlReview of the patient’s history <strong>and</strong> physical exam<strong>in</strong>ationmay yield clues that were overlooked <strong>in</strong>itially or haveappeared s<strong>in</strong>ce the time of the <strong>in</strong>itial visit.On the other h<strong>and</strong>, a small proportion of patients withsevere PMR may respond slowly even to 20 mg/d ofprednisone <strong>and</strong> may require an even higher dose tosuppress symptoms early <strong>in</strong> the course of the disease

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