Emerging treatments

Tumour necrosis factor inhibitors

European League Against Rheumatism/ American College of Rheumatology guidelines have strongly recommended against the use of tumour necrosis factor inhibitors, citing absence of evidence for benefit, increased potential adverse effects, and significant cost.[45]

Hydroxychloroquine

Very limited data have suggested benefit with hydroxychloroquine in patients who experience adverse effects to corticosteroids, but this is not standard therapy.[58]

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