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Corticosteroids
Corticosteroids provide rapid symptom relief. The medium- to long-term aim should be to reduce the daily dose to ≤7.5 mg/day prednisone equivalent or to discontinue, as long-term use can be detrimental (irreversible organ damage). Pulsed IV methylprednisolone of various doses and early initiation of immunosuppressive therapy may reduce risks by enabling use of a lower starting dose/faster tapering, and eventual discontinuation of glucocorticoids.
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