LARRY E. ALVES, M.D.; EDWARD P. ROSE, M.D.
To the editor: The recent article by Liebling and associates (1) indicates that their patients with rheumatoid arthritis had no significant complications during treatment with methylprednisolone. We have had two cases in which short-term high-dose steroid therapy was associated with severe complications. One case was in a 51-year-old patient who developed severe radicular pain thought to be lumbar disk herniation. The patient had had a stable pulmonary infiltrate for at least 4 years. After a trial of conservative therapy and as an alternative to myelography and surgery, she received 40 mg dexamethasone intramuscularly twice daily for 2 days, followed by
ALVES LE, ROSE EP. Complications of Steroid Therapy for Rheumatoid Arthritis. Ann Intern Med. ;94:713. doi: 10.7326/0003-4819-94-5-713_1
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Published: Ann Intern Med. 1981;94(5):713.
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