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HardNeurologyOptic neuritis in multiple sclerosisus-abimus-usmle-step-2us-usmle-step-3

A 32-year-old woman presents with right-sided eye pain, blurred vision, and loss of color vision over 2 days. Examination shows decreased visual acuity in the right eye, afferent pupillary defect, and pain with eye movement. MRI of the brain and orbits with contrast demonstrates enhancement of the right optic nerve and several periventricular white matter lesions. Which is the most appropriate acute treatment?

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