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Topics:
Rheumatology • Spondyloarthritis
What would be your treatment approach for a patient with concomitant diagnoses of multiple myeloma and axial spondyloarthritis?
Answer from: at Academic Institution
The treatment of multiple myeloma would take precedence in this situation. I would get in touch with the oncologist, ask them about their treatment plans, explain to them how we treat axSpA (NSAIDs, csDMARDs for peripheral manifestations, and biologics, small molecules for axial disease), and then c...
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Answer from: at Community Practice
I agree with Dr. Deodhar. Treatment of multiple myeloma and achieving a response is key here. Some of the myeloma regimen utilize high dose dexamethasone which might address axial SpA pain (although ax-SpA guideline recommends against using systemic steroid). In addition, PT (if patient's performanc...