ʻO ka lāʻau lapaʻau maʻamau ka lāʻau lapaʻau a me nā hoʻōla kino, kahi lāʻau lapaʻau i hoʻokumu ʻia me ka cortisone. He maikaʻi loa kēia mālama ʻana, e hōʻemi ana i ka makaʻā o nā pilikia vaskular e hana ai i ka maʻi koʻikoʻi loa. Hana kēia hana no ka mea ʻo ka cortisone ka lāʻau anti-inflammatory ikaika loa i ʻike ʻia, a ʻo ka maʻi ʻo Horton kahi maʻi maʻi. I loko o hoʻokahi pule, ua nui ka hoʻomaikaʻi a ma loko o hoʻokahi mahina o ka mālama ʻana e kāohi mau ʻia ka mumū.

Hoʻohui ʻia kahi lāʻau antiplatelet. Pale aku kēia i nā platelet i loko o ke koko mai ka hōʻuluʻulu ʻana a me ke kumu o ka ālai ʻana i ka holo ʻana i ke aʻa.

ʻO ka mālama ʻana me ka cortisone i ka wā mua ma kahi lāʻau hoʻouka, a laila, ke kaohi ʻia ka mumū (ua hoʻi ka maʻamau sedimentation a i ʻole ESR i ka maʻamau) ʻImi ʻo ia e ʻike i ka mahele lāʻau kūpono i mea e palena ai nā hopena i makemake ʻole ʻia o ka lapaʻau. Ma ka awelika, mau ka mālama ʻana ma kahi o 2 a 3 mau makahiki, akā hiki i kekahi manawa ke hoʻopau koke i ka cortisone.

Ma muli o nā hopena ʻino e hiki ai i kēia mau hōʻailona ke kumu, e nānā pono ʻia ka poʻe i ka wā mālama. Pono e nānā kūikawā i ka poʻe ʻelemākule i pale i ka piʻi ʻana o ke kaomi koko (hypertension), He osteoporosis (maʻi iwi) a i ʻole ka maʻi maka (glaucoma, cataract).

Ma muli o nā pilikia e pili ana i ka lāʻau corticosteroid, ke aʻo ʻia nei nā koho ʻē aʻe e like me methotrexate, azathioprine, synthetic antimalarials, ciclosporin, a me anti-TNF α, akā ʻaʻole i hōʻike i ka pono kiʻekiʻe.