Steroids in rheumatic disease: a podiatric perspective

Glucocorticoids are a class of steroids involved in the metabolism of glucose. Although decades of extensive use of these agents have clearly established their place as one of the most beneficial classes of medications ever known, their proper use is extremely complex and is associated with a multitude of devastating and even potentially fatal complications. The use of steroids in the treatment of the rheumatic diseases is sufficiently widespread that it is essential for any physician caring for rheumatoid patients to be aware of the drugs' potential risks as well as benefits. This paper provides an overview of the use of steroids in the management of rheumatic disease from a podiatric perspective.