Patients with mild disease and normal radiographs may begin treatment with hydroxychloroquine, sulfasalazine, or minocycline, although, the authors note, methotrexate is also an option https://foodsocietyx.com/keto-viante. Patients with more severe disease or radiographic signs should start treatment with methotrexate.
If symptoms are not adequately controlled, leflunomide, azathioprine or a combination of methotrexate and one of the newer agents can be used. Patients with more severe disease or radiographic signs should start treatment with methotrexate. If symptoms are not adequately controlled, leflunomide, azathioprine or a combination of methotrexate and one of the newer agents can be used.
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