why'd you remove the MMF? my understanding is that patients with ILD should typically be on MMF for an extended period for maintenance. what was the time scale in question?
Sir i had a patient , 37 years old female with multiple large joint pain swelling and stiffness , she had left uveitis , treated by ophthalmologists , this time she presented with above complains. There were no involvement of small joints , no promixal weakness , no rashes , no dry eye or dry mouth , though she complained of dry cough with mild sob . Chexy ray showed interstitial lung disease , esr was high with ra factor negative , ace levels result came after one week with high , diagnosis was made as sarcoidosis . My question is how should i proceed with pul sarcoidsis with dmards . I am an internal medicine physician working in a remote area of pakistan with a lack of facilities. Thankyou.
why'd you remove the MMF? my understanding is that patients with ILD should typically be on MMF for an extended period for maintenance. what was the time scale in question?
Did you have more experince with leflunamide plus mmf combinitaion?
So what did she end up on long term? IL-6 and leflunomide?
Sir u used leflunomide for joint Symptoms only? Am I right?
What abaout Rituximab?
Sir i had a patient , 37 years old female with multiple large joint pain swelling and stiffness , she had left uveitis , treated by ophthalmologists , this time she presented with above complains. There were no involvement of small joints , no promixal weakness , no rashes , no dry eye or dry mouth , though she complained of dry cough with mild sob . Chexy ray showed interstitial lung disease , esr was high with ra factor negative , ace levels result came after one week with high , diagnosis was made as sarcoidosis . My question is how should i proceed with pul sarcoidsis with dmards .
I am an internal medicine physician working in a remote area of pakistan with a lack of facilities. Thankyou.
Currently i have started her on steroids with tapering dose , along with bone and gastro protection .
So, is chest imaging typical of ILD or sarcoidosis?
@tamerelsaid6263 yes it was starge three.