A:
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The primary treatment strategy is prevention of the attacks. Because of the
frequency and brevity of the attacks, symptomatic treatment is not generally
the mainstay of therapy and is considered supplemental. Due to the devastating
nature of the condition, patients must be seen by their physicians, whenever
appropriate. Visits cannot be postponed when recurring, untreated attacks are occurring.
Patients must be provided effective and aggressive preventive and symptomatic
relief measures. Although steroids (to be discussed) are reliably effective, the
risks must be weighed against the benefits. Other preventive agents are often
more appropriate first-line treatments.
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