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INTERVENTIONS Arthritis improved with an intra-articular shot of 8 mg dexamethasone. Twelve times later the arthritis relapsed in both legs, and even though it had been resistant to nonsteroidal anti inflammatory treatment, it enhanced with systemic steroids. Tapering of methylprednisolone dose ended up being feasible using the coadministration of leflunomide and subsequently hydroxychloroquine. OUTCOMES Arthritis resolved in addition to patient is without any complications and infection task 20 months after the initiation r