Indication of systemic steroids in rheumatoid ahritis is:
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.
Mononeuritis multiplex
Carpul tunnel syndrome
Presence of deformities
Aicular cailage involvement