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. 2020 Sep 6;39(11):3237–3244. doi: 10.1007/s10067-020-05358-z

Key Points

Patients on immunosuppressive medications are not found to be at a greatly increased risk of acquiring COVID-19 infection.

• Patients doing well on a stable dose of steroid and/or Disease-Modifying Antirheumatic Drugs (DMARDs) should be allowed to continue the same unless they get infected in which case, temporary stoppage of methotrexate and leflunomide may be considered.

• Initiation of high-dose steroids, DMARDs, and biologics, if the clinical situation demands so, can be done.

• Maintenance biologic therapy for stable patients should be individualized by the treating physician.