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?
RF/CCP negative. Elbow joint aspiration revealed 29,000 cells with no crystals. DECT was negative. MRI of the hand and wrist demonstrated radioulnar joint effusion with synovitis and mild ECU tenosynovitis.
1 Answer
Mednet MemberInvited Expert
Rheumatology · Johns Hopkins School of Medicine
Answered on
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...
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