Abstract:A 64-year-old man with a history of rheumatoid arthritis (RA) on treatment with methotrexate 22.5 mg weekly and adalimumab 40 mg biweekly, presented to the emergency department with complaints of cough, dyspnea, and fatigue. The patient reported cough and dyspnea over the eight weeks prior to presentation. He was treated as an outpatient for cough with a course of azithromycin, then doxycycline. However, he progressively worsened over the month prior to presentation as he began to experience dyspnea on exertio… Show more
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