October 2023

RHEUMATOLOGY

STEROID TAPERING IN PMR: WHAT'S THE GOLD STANDARD?

In this RheumNow video, Anisha B. Dua, MD, provides insights into the gold standard tapering of glucocorticoids in polymyalgia rheumatica (PMR). She discusses the American College of Rheumatology and European League Against Rheumatism guidelines developed in 2015, which recommend using the minimum effective glucocorticoid dose for initial treatment. Dr. Dua emphasizes that while these guidelines serve as a framework for practicing clinicians, individual factors and considerations may influence the approach to tapering in PMR.
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Dr. Dua shares her personal treatment approach and explains when improvement is observed and when to reconsider the diagnosis. She also discusses the importance of considering patient comorbidities and tolerance during the tapering process.
Anisha B. Dua, MD, Associate Professor of Rheumatology at Northwestern Medicine

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