What is the best course of treatment for this patient?
Obtain a biopsy of the mass and exclude cancer
Refer to ophthalmology for intra-orbital steroid injections
Start Prednisone 20 mg/d and switch the methotrexate to azathioprine
Start Prednisone 60mg/d and Rituxan 1 gm, repeat in 2 weeks
None of the above
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