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Giant Cell Arteritis — Prevent Vision Loss

Elderly patient with new headache, jaw claudication, visual symptoms. Treat immediately and confirm.

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Arrange temporal artery biopsy within 1–2 weeks of therapy

Bone, GI, infection prophylaxis with steroids

Start high-dose glucocorticoids immediately

Initiate tocilizumab or methotrexate as steroid-sparing if recurrent/relapsing

Consider vascular imaging (US halo, CTA/MRA/PET) for large-vessel involvement

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