How do you approach management of patients with active RA and recurrent non-severe C.diff?
(Patient with active RA despite hydroxychloroquine)
Answer from: at Academic Institution
I think the question here is why the patient is experiencing recurrent C.diff. Is it true recurrence or it never fully clears? Any IgA deficiency? CVID?
I would do an immune deficiency work up- complements, immunoglobulines and flowcytometry, response to pneumococcal vaccine.
In parall...