In psoriatic ahritis, if the patient has liver fibrosis, ahropathy can NOT be treated with?: (A) Methotrexate, (B) Anti-TNF-alpha agents, (C) Steroids, (D) Sulfasalazine
Answer is A. Methotreaxte is absolutely contraindicated in liver fibrois. In case of treatment for long duration liver fibrosis should be assessed by liver biopsy.