How would you manage a patient with RA on abatacept now experiencing recurrent pericarditis not responsive to colchicine?  

Anakinra or rilonacept (both IL-1 antagonists) have been shown to be effective in idiopathic pericarditis. Their utility in RA-associated pericarditis is unknown. In this particular patient, abatacept has resulted in well-controlled RA but has not prevented pericarditis even with concurrent colchici...