This 72 yo woman has a five year history of biopsy proven lupus pernio. She also has a 30 year history of stable chronic leukemia (I don't know the form). Her rheumatologist treated the sarcoid with hydroxyplaquenil and Methotrexate (without any benefit). The questions: 1) topical tacrolimus 2) Infliximab and possible contraindications b/c of chronic leukemia. Strangely, her insurance carrier has denied tacrolimus ointment, but this is bein contested.
March 5, 2005
March 5, 2005
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