What treatment options would you consider for a patient with seronegative inflammatory arthritis in setting of history of liver transplant on mycophenolate mofetil and cyclosporine?

Some of this depends on how far out they are from transplant and the preference of their transplant team. For a patient with RA and a liver transplant, I was able to ask the transplant hepatologist to switch to azathioprine instead of mycophenolate, which was more helpful for the joints. Cyclosporin...

Hi, very fascinating case!

Is it really only the elbow that is affected? How strange. I feel like this represents septic arthritis until proven otherwise, and I would consider a UWash 16s PCR which would assess for mycoplasma/ureaplasma, as well as urine (and other relevant) NAAT assays for gonorrhe...