Assertion: fibrosis's treatment | /r/HasProperty | followed by dmard
Facets:
value: refractory on steroids
type: OTHER
value: as steroid-sparing agents
type: MANNER
Source sentences:
text: In the absence of severe urinary tract obstruction (which generally requires surgery with omental wrapping), treatment is generally with glucocorticoids initially, followed by DMARDs either as steroid-sparing agents or if refractory on steroids.