Rheumatology and Musculoskeletalmiddle twist
A 74-year-old woman has 3 weeks of a new unilateral temporal headache and pain in her jaw when chewing. She has no visual symptoms, limb weakness or constitutional instability. Her erythrocyte sedimentation rate is 92 mm/hour (reference range less than 30), and the temporal artery is tender. Which treatment should be started immediately?