A 68-year-old with polymyalgia rheumatica on prednisolone develops new unilateral temporal headache and scalp tenderness. Visual symptoms present. Wha...

Question

A 68-year-old with polymyalgia rheumatica on prednisolone develops new unilateral temporal headache and scalp tenderness. Visual symptoms present. What to do?

Accepted Answer

Start high-dose steroids immediately and urgent ophthalmology

Answer

Increase PMR dose slowly

Answer

Wait for ESR result

Answer

Start methotrexate only

Answer

Reassure

ukmla MCQ (SBA): GCA in PMR

A 68-year-old with polymyalgia rheumatica on prednisolone develops new unilateral temporal headache and scalp tenderness. Visual symptoms present. What to do?