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. 2020 Jun 21;8(1):e000281. doi: 10.1136/jitc-2019-000281

Figure 1.

Figure 1

Response to treatment with infliximab. Following development of severe inflammatory polyarthritis, elevated CRP at 210 g/L, and the subsequent cessation of nivolumab treatment in April 2017, this patient was commenced on high-dose prednisolone (20–25 mg daily) along with subsequent addition of hydroxychloroquine (200 mg daily, shown in light green) in may 2017 and then MTX (20 mg Weekly shown in green) in August 2017. Following failed attempts to taper prednisolone treatment, arthroscopic synovial biopsy and synovial biopsy-guided therapy with infliximab (shown in dark green) was initiated in quick succession (November 2017 and December 2017, respectively) in addition to holding HCQ. This was followed by a rapid decline in CRP simultaneous with effective tapering of prednisolone therapy. CRP, C reactive protein; HCQ, hydroxychloroquine; MTX, methotrexate.