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Steroids induce inhibition of interleukin-5 and eosinophilic accumulation, which are responsible for visceral organ damage and lead to a reduction in symptoms due to associated delayed hypersensitivity reactions (59, 60), with a minimum initial dose of 1 mg/kg/day of prednisone or equivalent and slow tapering over 3–6 months after stabilization of clinical symptoms and laboratory abnormalities, because a rapid decrease in the dose can be associated with relapse (56)

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