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Undifferentiated connective tissue disease medical therapy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2]

Overview

The pharmacologic medical therapy is recommended based on the rheumatic disease pattern manifested by the patient such as methotrexate in those exhibiting arthritis and dermatitis. Supportive therapy includes; avoiding cold exposure in those experiencing Raynaud’s phenomenon, avoiding sun in photosensitivity, non-steroidal anti-inflammatory drugs for pain control, sunscreen used for photosensitivity, and emollients for dry skin and rash.

Medical Therapy

Routine measures

Supportive therapy

Arthritis and dermatitis

  • Oral regimen
    • Preferred regimen (1): Methotrexate 7.5 mg PO q24h for 6 months (not used for CNS symptoms or serositis)[1]
      • Dose can be gradually increased to 13.6 mg after 6 months

References

  1. Wise CM, Vuyyuru S, Roberts WN (June 1996). “Methotrexate in nonrenal lupus and undifferentiated connective tissue disease–a review of 36 patients”. J. Rheumatol. 23 (6): 1005–10. PMID 8782131.

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