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HardRheumatologyMethotrexate-induced lung diseaseau-amcau-racp

A 62-year-old woman with rheumatoid arthritis presents with progressive exertional dyspnoea and non-productive cough. She has been on methotrexate for 2 years. Chest auscultation reveals fine inspiratory crackles at the bases. Chest X-ray shows a reticular pattern. You suspect interstitial lung disease. According to Australian RA management, what is the best next step?

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