Topics:
Rheumatology • Rheumatoid Arthritis
Do you routinely obtain a chest x-ray prior to initiating anti-TNF or other biologic therapy?
Does Quantiferon gold replace the need for baseline chest x-ray screen?
Answer from: at Academic Institution
I don't routinely order a chest x-ray in patients with negative quantiferon (or other latent TB testing such as the T-spot) before starting biologics. The chest x-ray is much less specific for latent TB, particularly in the United States where TB is not endemic. Patients may have granulomas or other...
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