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Topics:
Internal Medicine • Rheumatology • Spondyloarthritis • Psoriatic arthritis • Hepatitis C • Psoriasis • Sacroliitis
What is the preferred DMARD in active spondyloarthropathy with psoriasis and sacroiliitis features in the setting of treated hepatitis C with negative viral load?
In patients refractory to NSAIDs and sulfasalazine
Answer from: at Academic Institution
Given that the patient is treated and has a negative viral load, options for treating PsA are rather broad. Of course, if high-risk behaviors that increase the risk of developing hepatitis C persist, the options are very limited. In the anti-TNF class, I prefer etanercept due to its short half-life....
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