How do you approach patients with a history of lymphoma in remission who are in need of immunosuppressive (e.g. TNF blockers, 6MP) or other therapies (e.g. JAK inhibitors) for autoimmune disease that have been linked with the development of lymphoma?

Dierickx et al., PMID 26384356.

Yes, you can resume immunosuppression (IS) safely. If rituximab can be used for auto immune disease treatment that would be perfect.

The prior treatment for lymphoma if it included rituximab would have taken care of the b cell reservoir.

If high risk for recurrence of l...