Abstract

SummaryFourteen patients with rheumatoid arthritis who had been treated with corticosteroid drugs were submitted to a standard orthopedic surgical procedure without prior corticosteroid cover. Synacthen test was carried out on all patients.The findings indicate that patients with a subnormal response to Synacthen testing should receive routine corticosteroid cover during and after operation. The position with regard to corticosteroid-treated patients who exhibit a normal response to Synacthen testing is under continuing study.

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