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A 48-Year-Old South African Woman with Rheumatoid Arthritis and Lung Nodules
Matthew Koslow1, Sami M Bennji2, Stephanie Griffith-Richards3
1Interstitial Lung Disease Program, National Jewish Health, Denver, CO; Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic, Rochester, MN.
Case Presentation:
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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