How do you approach recurrent costochondritis in an SLE patient with nephritis who is otherwise controlled on MMF and HCQ but can't take NSAIDs?
Answer from: at Community Practice
I do the following:
I reassure them it is not cardiac or pulmonary. If I'm not 100% sure, then I send to cardiology (especially in my high-risk patients) because patients can occasionally chest wall tenderness for non-musculoskeletal chest pain.
Ask them to work on proper posture (I'm convinced ...
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Answer from: at Community Practice
I agree with Dr. @Thomas, but I do not use 40 mg of steroids, I use 20 mg. Also, I try to avoid atrophy or hypopigmentation in those areas with poor subcutaneous fatty tissues.
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at Uniformed Services University of the Health Sciences (USUHS)
Thanks, @Braulio Quintero; I'll try the lower dose...
Thanks, @Braulio Quintero; I'll try the lower dose...