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What is the treatment for a patient who has enlarged lymph nodes and involvement of the lungs, spleen, and liver. The patient also has diabetes mellitus?

April 26, 2017Diabetes liver lungs lymph nodes patient spleen treatment

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What is the treatment for a patient who has enlarged lymph nodes and involvement of the lungs, spleen, and liver. The patient also has diabetes mellitus?

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Although prednisone would be an ideal drug, in this case the presence of diabetes mellitus is contraindicated. Hydroxychloroquine and methotrexate should be tried.