The efficacy of two types of perioperative corticosteroid therapy has been compared in 191 children with rheumatoid arthritis aged 4 to 15 years, who were preoperatively treated with steroid hormones. The data have been obtained that small doses of steroid hormones used for the prevention of acute adrenocortical insufficiency and differential approach to their application eliminate side effects of glucocorticoids and ensure more favourable conditions for surgery.

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