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A rare reaction to sulfasalazine

BMJ 2017; 359 doi: (Published 30 November 2017) Cite this as: BMJ 2017;359:j5189
  1. Jonathan Pinnell, rheumatology registrar,
  2. Tanya Potter, rheumatology consultant
  1. Rheumatology, University Hospital, Coventry, UK
  1. Correspondence to J Pinnell jonathan.pinnell{at}

A 47 year old woman developed facial swelling and an itchy maculopapular rash over her whole body one month after commencing sulfasalazine for rheumatoid arthritis. On examination, she was pyrexial and had generalised lymphadenopathy. Her alkaline phosphatase …

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