tacrolimus,tofacitinib,Prednisolone
pfizer
['tofacitinib', 'tacrolimus', 'tofa']
key points in managing mda5+ dm 1. consider tofacitinib 5-10mg bd
2. low to mid dose prednisolone 20-30mg tapering
3. other rx: tacrolimus, ivig
4. poor prognostic factors: lymphopenia, raised ferritin, old age, rapid ild progression wang gc, iim session #acr22 
MD PhD Consultant Rheumatologist &Physician,Assoc Medical Director,Digital Leader,NASS Trustee &Best Rheum Care,Visiting Fellow Henley Business School,ExecCoach