Systemic lupus erythematosus   

(Refractory to mycophenolate, azathioprine, and methotrexate. UpToDate suggests thalidomide or IVIG with mixed efficacy, while there are some case rep...

And if so, what is your approach to the diagnosis?

Do you do blood work? Or do you rely on review of systems?

Do you typically start the patient on hydroxychloroquine?  What work-up do you perform?

Several speakers at ACR 2021 commented on the important role of drug levels in the management of these patients and cautioned against adding medicatio...

When would you de-escalate therapy?

In other words, do we think of TNFi induced lupus and TNFi induced psoriasis as a drug effect or a class effect? 

If so, are there specific patient populations for which you would use this metric?

This question is part of a collaboration with RheumMadness and is specifically in reference to: ADIRA Diet