Pulse Steroid Injection in Refractory Rheumatoid Arthritis

This study is testing whether high-dose steroid injections (given as "pulse" therapy) can help people with rheumatoid arthritis (RA) whose disease has not responded adequately to other treatments — known as refractory RA. **You may be eligible if...** - You have been diagnosed with rheumatoid arthritis - Your RA has not responded well to standard treatments (refractory) **You may NOT be eligible if...** - You have other connective tissue diseases (such as lupus or Sjögren's syndrome) - You have certain hormonal/metabolic conditions such as diabetes or thyroid disorders Talk to your doctor to see if this trial is right for you.