Not sure why he is not on any immunosuppressant. From what you are describing based on the above...he has active wegs. The initial regime is cytoxan and once the patient is stabilized, Imuran, Methotraxate or Cellcept.
Danell...is Mitch being treated with a Wegs Specialist...no doc would ever get a patient out of immuno drugs unless that patients showed absolutely positively no signs of active wegs.
I had no signs of active wegs for 2 years but was still on Cellcept and was just bumped up because of minor joint pains...I went right after it, did not wait and schedule all bloodwork and doc appt immediately.
If it was me...I WOULD GET TO A DOC WHO UNDERSTANDS WEGS. NOW!
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