Giant cell arteritis (GCA)
Treatment:
Prednisolone, 40-60 mg (not < 0.75 mg/kg) for 4 weeks (or until symptoms and laboratory abnormalities resolve), then
Reduce dose by 10 mg every 2 weeks to 20 mg, then
Reduce dose by 2.5 mg every 2-4 weeks to 10 mg, then
Reduce dose by 1 mg every 1-2 months, provided no relapse occurs.
@DxRxEdu Interesting fact on the creatinine clearance. So, how can we make sure the 'true' eGFR is after initiating ACEi/ARB? Shall we wait few weeks to have repeat bloods?