<prompt> TNF -alpha inhibitors should not be used in:Rheumatoid ahritis with HIV infectionRheumatoid ahritis with hepatitis BRheumatoid ahritis with hepatitis CRheumatoid ahritis with pulmonary fibrosis  <response>: Tumor necrosis factor-a TNF-a inhibitors are known to increase reactivation of concurrent chronic hepatitis B,Hence not used ESSENTIALS OF MEDICAL PHARMACOLOGY: SEVENTH EDITION K.D TRIPATHI PAGE:804,805,884 