Pulse Steroid Injection in Refractory Rheumatoid Arthritis

Revealing the Potential of Intravenous Pulse Steroid Therapy; Impressive Results in Attaining Remission or Low Disease Activity in Refractory Rheumatoid Arthritis

Remission or low disease activity in active rheumatoid arthritis

Assessment of rheumatoid arthritis activity by Disease activity score DAS28, DAS28 Erythrocyte sedimentation rate (ESR), American college of rheumatology (ACR) 20, ACR 50, ACR 70 will be done at baseline and every month for 3 consecutive months for both groups.

Inclusion Criteria:

• Refractory rheumatoid arthritis patients

Exclusion Criteria:

• Other connective tissue diseases
• Endocrine diseases such as DM and thyroid disorders