TNF inhibitor

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‘HOW A WOMAN WITH RHEUMATOID ARTHRITIS FOUND HERSELF IN A PSYCH WARD’

Case Presentation: A 39 year old Indian female with a medical history of rheumatoid arthritis, maintained on bi-weekly Adalimumab for the past year, presented with anxiety and forgetfulness, which had progressed to extreme paranoia and [...]

By | 2019-03-11T14:41:04+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on ‘HOW A WOMAN WITH RHEUMATOID ARTHRITIS FOUND HERSELF IN A PSYCH WARD’

A GOOD DRUG GOES ROGUE

Case Presentation: A 28-year-old man with ulcerative colitis treated with adalimumab presented with headache, fever and sinus symptoms that progressed over two weeks to neck stiffness, “clouded” thinking, and intermittent left arm and facial numbness. [...]

By | 2019-03-11T14:38:45+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on A GOOD DRUG GOES ROGUE

MIXED CONNECTIVE TISSUE DISEASE WITH MIXED ETIOLOGY INTERSTITIAL LUNG DISEASE

Case Presentation: 64-year-old female is admitted for workup and management of subacute, progressive dyspnea, pleuritic chest pain, dry cough, and new oxygen requirement. History is significant for plaque psoriasis on adalimumab (initiated 3 months prior [...]

By | 2019-03-11T14:34:15+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on MIXED CONNECTIVE TISSUE DISEASE WITH MIXED ETIOLOGY INTERSTITIAL LUNG DISEASE