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How would you approach JAK inhibitors in pregnancy?

Are JAK inhibitors teratogenic? Costanzo et al., PMID 32071617 Clowse et al., PMID 27282428 Harigai, PMID 30806708 https://www.jaad.org/article/S0190-9622(24)03274-2/abstract
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How would you approach JAK inhibitors in pregnancy?

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