How would you manage scleritis perforans in a patient with seropositive rheumatoid arthritis/scleroderma overlap?

Topics: Rheumatology • Rheumatoid Arthritis • Scleroderma • Inflammatory eye disorders • Ophthalmology

Patient has failed methotrexate and adalimumab.

Answer from: at Community Practice

Scleromalacia perforans is a rare but sight-threatening disease that is often associated with seropositive RA. It has become less common, presumably due to more aggressive management of RA and newer medication options. Prior to biologics, it was often managed with oral prednisone and/or cyclophospha...

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at Montefiore Medical Center
Thank you this is great!

Answer from: at Academic Institution

I have used Infliximab with success in a patient.

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at Legacy Devers Eye Institute
Yes, I have also used infliximab to treat scleroma...

at Montefiore Medical Center
If the arthritis is not very active, would you con...

at Legacy Devers Eye Institute
As your question implies, mycophenolate is not a g...

at Montefiore Medical Center
She is on hydroxychloroquine as she couldn’t...

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