26th January 2024

A 42-year-old male presented to the Rheumatology outpatient clinic complaining of tight, stiff joints.

A 42-year-old male presented to the Rheumatology outpatient clinic complaining of tight, stiff joints. On examination, he is noted to appear much younger than his actual age and respiratory examination revealed bilateral basal crepitations. Subsequent lung function tests and CT scan showed likely interstitial lung disease.

Given the likely underlying diagnosis, which of the following would be the most appropriate treatment to initiate?

Select the SINGLE most appropriate option from the list below. Select ONE option only.