We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Steroids in Rheumatoid Arthritis

E. C. Atwater, MD
Arch Intern Med. 1965;115(2):190. doi:10.1001/archinte.1965.03860140070014.
Text Size: A A A
Published online


THE QUESTION of whether or not adrenal corticosteroid hormones cause or aggravate peptic ulcer remains unsettled. Elsewhere in this issue of the Archives is a study which reports that corticosteroid hormones in the doses commonly used in the treatment of patients with rheumatoid arthritis (15 mg or less of prednisone a day) do not increase the incidence of peptic ulceration. This study suggests that the increase of peptic ulceration in patients with rheumatoid arthritis is a function of the disease and not the therapy.

Will such a study encourage indiscriminate use of steroid hormones in patients with rheumatoid arthritis or other chronic painful musculoskeletal disease? The array of problems that arise from the prolonged use of corticosteroids is so impressive that their absolution as a cause of peptic ulcer is relatively trivial. The physician who has seen a patient with overwhelming sepsis, collapsed vertebrae, or severe muscle atrophy, or who


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.