Daily and Alternate-Day Corticosteroid Regimens in Treatment of Giant Cell Arteritis

Autor: Sheldon G. Sheps, Gene G. Hunder, George L. Allen, John W. Joyce
Rok vydání: 1975
Předmět:
Zdroj: Annals of Internal Medicine. 82:613
ISSN: 0003-4819
Popis: Alternate-day corticosteroid therapy was compared with two daily corticosteroid regimens for the treatment of giant cell arteritis. In a prospective study 60 patients with this disease were randomly assigned to three treatment groups: group A, 15 mg of prednisone every 8 hours; group B, 45 mg of prednisone every morning; and group C, 90 mgof prednisone every other morning. After 1 month of treatment, the arteritis seemed to be completely suppressed in 18 patients in group A and 16 in group B but in only 6 in group C. In the 14 other patients in group C, the continuing symptoms were cyclic and developed during the day steroids were not given. By changing to a daily regimen, the arteritis was controlled in most patients in group C. Adverse reactions to prednisone were noted frequently in groups A and B but rarely in group C.
Databáze: OpenAIRE