[CIS PIDD] [cis-pidd] CVID + "Lupus"

[Church, Joseph]

Colleagues:

I follow a 40yo woman with fairly typical CVID.  Her rheumatologist diagnosed 'lupus' or 'non-specific connective tissue disease.'

Her chronic joint symptoms, primarily arthralgias, responded dramatically to 30 mg of prednisone per day.  As she tapered the steroid all symptoms returned.

Her rheumatologist indicated he is considering starting her on Benlysta, methotrexate or Cellcept.

Is there a "lesser evil" among these drugs for a patient with CVID?

JC


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