Giant-cell arteritis and polymyalgia rheumatica

Cornelia M. Weyand; Jörg J. Goronzy

doi:10.1056/NEJMcp1214825

Giant-cell arteritis and polymyalgia rheumatica

Cornelia M. Weyand, Jörg J. Goronzy

Immunology

Research output: Contribution to journal › Article › peer-review

161 Scopus citations

Abstract

A 79-year-old woman presents with new-onset pain in her neck and both shoulders. She takes 7.5 mg of prednisone per day for giant-cell arteritis. Occipital tenderness and diplopia developed 11 months before presentation. At that time, her erythrocyte sedimentation rate was elevated, at 78 mm per hour, and a temporal-artery biopsy revealed granulomatous arteritis. The diplopia resolved after 6 days of treatment with 60 mg of prednisone daily. Neither headache nor visual symptoms developed when the glucocorticoids were tapered. How should this patient's care be managed?

Original language	English (US)
Pages (from-to)	50-57
Number of pages	8
Journal	New England Journal of Medicine
Volume	371
Issue number	1
DOIs	https://doi.org/10.1056/NEJMcp1214825
State	Published - 2014

ASJC Scopus subject areas

General Medicine

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10.1056/NEJMcp1214825

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Giant-cell arteritis and polymyalgia rheumatica

Abstract

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