A 48-Year-Old South African Woman with Rheumatoid Arthritis and Lung Nodules.

Koslow, Matthew; Bennji, Sami M; Griffith-Richards, Stephanie; Ahmad, Kareem; Johnson, Geoffrey B; Ryu, Jay H; Nathan, Steven D; Allwood, Brian W · Chest · 2020

case_report · Level V

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Abstract

We present the case of a 48-year-old South African woman with no smoking history, and seropositive rheumatoid arthritis diagnosed in 2001. She was treated with chloroquine (150 mg, 4 times per week) and methotrexate (30 mg weekly) with well-controlled symptoms until 2015, when she developed a disease flare. Her treatment regimen was changed to leflunomide (20 mg daily) monotherapy with subsequent symptom control. Biologic agents were not accessible because of cost constraints.

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