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

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I have a teenager with CVID and SLE and Plaquinil works well for her.
Elif

Elif Dokmeci

On Dec 6, 2012, at 7:47 PM, "Church, Joseph" <JChurch at chla.usc.edu> wrote:


> 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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