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PMR to GCA Dose Escalation — SCE Rheumatology MCQ

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EasyVasculitisPMR to GCA Dose EscalationSCE Rheumatology

A 65-year-old woman with PMR on Prednisolone develops jaw claudication and headache. What dose change?

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Correct answer: EIncrease immediately to GCA doses 40-60mg as cranial symptoms are a medical emergency

Cranial GCA in PMR is emergency. PMR dose insufficient for GCA. Visual symptoms may need IV Methylprednisolone.

Reference: BSR 2020 GCA; BSR 2010 PMR