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Topics:
Internal Medicine • Rheumatology • Pulmonology • ILD • Diffuse Parenchymal Lung Disease • CTD-ILD
What is your approach to steroid sparing therapy in patients with suspected CTD-ILD?
Answer from: at Community Practice
It depends on numerous factors:
What's the underlying CTD?
Has the patient been trialed on immunomodulatory agents before?
What's the risk of therapy in this patient?
And many others. It's a big topic. To delve into some of the above by bullet point:
Most guidance for immune suppression is driv...
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Answer from: at Community Practice
If there is no active infection, I would try to get ahead of the progressive lung fibrosis with rituximab, and if successful, then reconsider alternatives.