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Topics:
Rheumatology
•
Systemic sclerosis
•
Scleroderma
If a patient has progression of scleroderma-ILD on MMF alone, and you are planning to start tocilizumab, would you continue MMF at a lower dose to maintain skin softening?
Related Questions
In patients with diffuse scleroderma and symptomatic lower extremity venous insufficiency, would you recommend treatment with endovenous laser/ablation?
What are some important considerations for use of ACE inhibition in scleroderma renal crisis patients who require dialysis?
What considerations do you take when using prednisone in patients with systemic sclerosis?
How do you approach symptom control in a patient with diffuse cutaneous systemic sclerosis (dcSSc) and rapidly progressive skin disease?
What would be your recommendation for treatment of worsening lung disease in a patient with long-standing scleroderma after long-term mycophenolate therapy which is no longer an option due to side effect/intolerance?
Would you continue belimumab in high risk lupus patients with overlapping scleroderma features with ILD who become pregnant and who are already on HCQ and azathioprine?
Are there situations in which you treat calcinosis cutis that is not symptomatic for the patient?
When do you consider Mesna for patients taking oral cyclophosphamide?
How would you manage a patient with diffuse Systemic Sclerosis who develops severe rapidly progressive calcinosis?
What are the principal clinical and laboratory findings that lead a community rheumatologist to refer patients with scleroderma and lupus to a tertiary care center?