methotrexate,rituximab,tocilizumb,cyclophosphamide
Biogen,Roche
['derm']
 how do you treat skin disease in #systemicsclerosis 1st- mmf/myfortic (if gi intol) or mtx (get baseline hrct 1st)
2nd- cyc or autologous sct if refractory; trials
rtx (add on?),tcz (no effect), jaki- data #sclerodermacommunityhub
#acr22 #acrambassador 
Rheumatologist, Associate Professor @MayoClinic #Scleroderma #Raynaud's #Capillaroscopy #Vasculitis #MSKUS, Mom, Foodie, Traveller. Tweets are my own.