What is included the glucocorticoid regimen to induce remission in localized or milder granulomatosis with polyangiitis (GPA)?

Updated: Oct 09, 2019
  • Author: Christopher L Tracy, MD; Chief Editor: Herbert S Diamond, MD  more...
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Answer

See above

Likely pulse methylprednisolone not needed

Reasonable to consider faster taper than in severe or generalized GPA

Recommend baseline evaluation of bone mineral density

Recommend daily calcium and vitamin D supplementation

Recommend consideration of bisphosphonate therapy to prevent glucocorticoid-induced osteoporosis


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