A 74-year-old male with RA, maintained on hydroxychloroquine and sulfasalazine, presented with bilateral red eyes, a flare of synovitis in joints and high inflammatory markers. He was treated with six cycles of intravenous pulsed cyclophosphamide and methyl prednisolone but developed a severe pneumonia requiring hospitalisation for intravenous antibiotic therapy. However, his scleritis persisted. A cycle of two infusions of …