Giant-cell arteritis and polymyalgia rheumatica

Cornelia M. Weyand, Jörg J. Goronzy

Research output: Contribution to journalArticlepeer-review

153 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 languageEnglish (US)
Pages (from-to)50-57
Number of pages8
JournalNew England Journal of Medicine
Volume371
Issue number1
DOIs
StatePublished - 2014

ASJC Scopus subject areas

  • Medicine(all)

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