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Concerns on glucocorticoid use for Japanese patients with established rheumatoid arthritis
  1. Hiroshi Oiwa
  1. Correspondence to Dr Hiroshi Oiwa, Department of Rheumatology, Hiroshima Shiritsu Hiroshima Shimin Byoin, Hiroshima 730-8518, Japan; hiroshioiwa{at}

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I read with great interest the recommendation for the management of rheumatoid arthritis (RA) by the European League Against Rheumatism (EULAR), especially the recommendation regarding glucocorticoid use: ‘Short-term glucocorticoids should be considered when initiating or changing conventional synthetic disease-modifying antirheumatic drugs (DMARDs), in different dose regimens and routes of administration, but should be tapered as rapidly as clinically feasible’.1 This recommendation was primarily supported by randomised controlled studies that suggested the efficacy and acceptable safety of glucocorticoids in early RA compared with placebo.1 2 However, I …

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  • Competing interests HO reports personal fees from Astellas, Ayumi, Daiichi, Sankyo, Eisai, Dainippon Sumitomo, Chugai Pharmaceutical, outside the submitted work. HO has received lecture fees from Mitsubishi Tanabe, Takeda, AbbVie, Chugai, BMS, Astellas, Ayumi, Daiichi-Sankyo, Eisai, Asahi Kasei and Dainippon Sumitomo.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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