A 72-year-old with longstanding RA on methotrexate develops cough and dyspnoea. CXR shows interstitial pattern. Best action?...

Question

A 72-year-old with longstanding RA on methotrexate develops cough and dyspnoea. CXR shows interstitial pattern. Best action?

Accepted Answer

Stop methotrexate and refer urgently

Answer

Continue methotrexate and observe

Answer

Start high-dose steroids without stopping MTX

Answer

No action

Answer

Switch to leflunomide immediately

mrcp part 1 MCQ (SBA): Methotrexate pneumonitis