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- Matthew Koslow, Sami M Bennji, Stephanie Griffith-Richards, Kareem Ahmad, Geoffrey B Johnson, Jay H Ryu, Steven D Nathan, and Brian W Allwood.
- Interstitial Lung Disease Program, National Jewish Health, Denver, CO; Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic, Rochester, MN. Electronic address: mkoslow73@gmail.com.
- Chest. 2020 May 1; 157 (5): e151-e155.
Case PresentationWe 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.Copyright © 2019 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.
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