75 year old lady comes in today with 1 month malaise, anorexia, achy head
and face, tender lumpy temples, occasional swollen tongue. I put her 30mg
pred/day and send off FBC, ESR and CRP expecting it to be TA. If the
inflammatory markers are suitably sky high is the consensus to simply treat
without biopsy? I'm thinking if ESR/CRP is just moderately elevated I'm
still tempted to treat with prolonged steroid (:-( type 2 DM as well, so now
I'm thinking the inflam markers are only "helpful" if normal, but then I
read 2-9% of TA has a normal ESR so...
What do you do?
-----Original Message-----
From: GP-UK [mailto:[log in to unmask]] On Behalf Of Ahmad Risk
Sent: 11 April 2008 10:26
To: [log in to unmask]
Subject: CKS beta site
You may already know of the Clinical Knowledge Summaries Service (CKS) at
<http://cks.library.nhs.uk>
We have posted a new beta website at <http://beta.cks.library.nhs.uk>
All feedback, thoughts and suggestions are welcome. Please hammer it as
much as you can and send your feedback through the [conatct us] form on
the site.
Thank you
Ahmad Risk
Clinical Editor
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