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liver scarring

I just got results from biopsy...stage 3 scarring.  I have RA and psoriasis..a very active, strong immune system.
Have been on Remicade  And Methatrexate for a very long time.
In order to treat responsibly Hepatologist is looking to see if it is Immune or Drug caused.

anyone had any experience with this?
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5133061 tn?1374984125
I have had RA for many years but wasn't diagnosed until 2009. I started with Plaquenil (hydroxychloroquine) and Meloxicam, but after experiencing a worsening of symptoms, my rheumatologist prescribed methotrexate (7.5 mg orally once a week). Then, in late 2012, I discovered I had chronic hepatitis C. I figure I've had it over 35 years. Methotrexate is contraindicated in patients with chronic HepC. I stopped taking it and am only taking Plaquenil now.

I found a very informative journal article online that discusses treatment of RA in patients with concomitant chronic HepC infection. Do you have HepC also? If yes, you may want to print out this article and share it with your rheumatologist and hepatologist.
The article is available online at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3383526/

It sounds like you've found a good hepatologist. That's half the battle. Hopefully your doctor can determine the cause of your hepatitis, prescribe an effective treatment, and get your liver healthy again as soon as possible.
Wishing you the best,
Sue

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