“…12,17 We have argued that RRVD is caused by immunopathologic inflammatory responses directed at virus persisting in synovial macrophages. 1,18 -20 A number of virusmediated immune pathologies are currently treated with steroids; these include croup in children, 21 virus-induced asthma flares, 22 Bell palsy, 23 viral encephalitis, 24 and hepatitis C virus arthritis. 25 Although RRVD can be severe and debilitating at onset, the disease progressively resolves within 3 to 6 months, there is no discernible articular damage, and there is no evidence of RRVD leading to autoimmune arthritis.…”