“…Chronic arthritis in such patients is usually without erosions and responds well to gamma globulin replacement therapy, which is distinct from classic RA (2,9) and may be classified as a reactive arthritis (2). Furthermore, several reports have described arthritis due to autoimmune disorders, such as RA (1-3), JIA (4,5), and spondyloarthritis (6) associated with hypogammaglobulinemia, and only T cells can cause synovitis and arthritis (1, 3). Gold, sulfasalazine, prednisolone, methotrexate, and non-steroidal anti-inflammatory drugs (NSAIDs) are effective in these cases.…”