2012 Revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides Arthritis & Rheumatism Volume 65, Issue 1, pages 1-11, 27 DEC 2012 DOI: 10.1002/art.37715 http://onlinelibrary.wiley.com/doi/10.1002/art.37715/full#fig1 2012 Revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides Arthritis & Rheumatism Volume 65, Issue 1, pages 1-11, 27 DEC 2012 DOI: 10.1002/art.37715 http://onlinelibrary.wiley.com/doi/10.1002/art.37715/full#fig2 A 33-year-old man with Takayasu aortitis. The MRI shows narrowing of the region of the isthmus (arrowhead) as well as diffuse irregular narrowing of the abdominal aorta (arrow). Снижение дозы преднизолона при ГКА • If the initial dose of prednisone was 60 mg/day, it can generally be reduced to 50 mg/day after two weeks and to 40 mg/day at the end of a month • After that, the dose can be gradually reduced by approximately 10 percent of the total daily dose each one or two weeks • After achieving a daily dose of 10 mg, the prednisone taper should be slowed substantially, such that patients remain on some prednisone (in progressively lower doses) for 9 to 12 months • Tapering in 1 mg decrements per month once the daily dose is less than 10 mg is appropriate