Indication of systemic steroids in rheumatoid ahritis is:: (A) Mononeuritis multiplex, (B) Carpul tunnel syndrome, (C) Presence of deformities, (D) Aicular cailage involvement
Answer is A. Answer is A (Mononeuritis Multiplex) : Mononeuritis multiplex in Rheumatoid ahritis is due to nerve ischaemia from occlusion of vaso nervosum due to vasculitic change - Harrison Indications of Steroids in Rheumatoid ahritis include: On sho term basis to tide over acute disabling episodes etc. To manage serious extra-aicular manifestations such as: Vasculitis: exemplified here by mononeuritis multiplex Pericarditis Perforating eye lesions etc.