George, try this: http://www.findarticles.com/cf_dls/g2601/0013/2601001328/p1/article.jhtml It's quite a thorough description. Bottom line is the insistance that the patient start corticosteroid treatment immediately. This should bring a stop to the condition, but it means taking the medicine for a long time. Penny, NY . ________________________________________________________________ GET INTERNET ACCESS FROM JUNO! Juno offers FREE or PREMIUM Internet access for less! Join Juno today! For your FREE software, visit: http://dl.www.juno.com/get/web/.