Neuropathies in the rheumatoid patient. A case of the heavy hand

Rheumatoid Arthritis (RA) is a common inflammatory arthritis' with pain and loss of function among its most disabling symptoms. These are mostly secondary to inflammation or mechanical damage to the joints. However it is also important to consider disease complications as a cause Of symptoms, especially when the response to treatment is suboptimal. We report an R,4 patient whose symptoms were resistant to standard therapy, and were actually due to peripheral neuropathy.