What would be your next step in management of a dermatomyositis patient on hydroxychloroquine and methotrexate whose skin is still active?

Topics: Rheumatology • Myositis • Dermatomyositis • Dermatology

Muscle disease is quiescent and no other manifestations such as ILD

Answer from: at Academic Institution

There are many different options for this kind of scenario. Depending on the physician's preference, patient's lifestyle, and insurance coverage, one could switch to mycophenolate, which seems to be more effective for skin manifestations, or azathioprine. If the patient did have a partial response ...

Comments

at Lake Health
In general, I would agree with your thoughtful res...

at Feinberg School of Medicine
From a dermatologist's perspective, while azathiop...

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