Ishan A. Patel MD, Neel Vahil MD, Keith Albrektson MD, Lucie Griffin DO
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Abstract
Case Presentation
A 69-year-old male with a history of ongoing tobacco use and long-standing history of seropositive rheumatoid arthritis on chronic immunosuppressive therapy (daily hydroxychloroquine, weekly methotrexate with etanercept) presented to the outpatient clinic with 6 weeks of weight loss, cough, and malaise. There was no history of recent infections, hospitalizations, or other significant changes to his health other than having a 3-month lapse in his rheumatoid arthritis medications due to prescription filling issues.
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