Pregnancy in a rheumatoid arthritis patient on infliximab and methotrexate

Abstract

Sir, A lady was diagnosed with rheumatoid arthritis at the age of 29. She was initially treated with sulphasalazine (3 g/day) and then azathioprine (eventually 250 mg/day) was added. This failed to control her disease, so hydroxychloroquine (400 mg/day) was added. On this combination of drugs (with 5 mg prednisolone and diclofenac 150 mg/day) her disease appeared to be coming under control.