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Belgian Multidisciplinary Immunotoxicity Board (BITOX)
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Joint Pathology
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Arthralgia
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Arthralgia – Grade 1
Arthralgia – Grade 1
Symptom Grade 1
Symptom Grade 2
Management escalation pathway
Initiate analgesia with paracetamol and/or NSAID (If not contraindicated)
Continue ICPI
Assessment and Investigations
Complete rheumatological history
Examination of all joints and skin
Consider imaging to exclude metastases
Consider ultrasound to exclude artritis
Abbreviations
Abbreviations
ACPA:
Anti Citrullinated Antibody
ANCA:
Anti Neutrophil Cytoplasmic Antibody
ANF:
Anti Nuclear Factor
ICPi:
Immune Checkpoint Blockade Inhibition
NSAID:
Non Steroidal Anti-Inflammatory Drugs
RF:
Rheuma Factor
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