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- John J Cush.
- Rheumatic Disease Division, The University of Texas Southwestern Medical School, 9900 North Central Expressway, Suite 550, Dallas, TX 75231, USA. Electronic address: https://twitter.com/rheumnow.
- Med. Clin. North Am. 2021 Mar 1; 105 (2): 355-365.
AbstractRheumatoid arthritis (RA) is a chronic, progressive inflammatory disorder that manifests as a symmetric polyarthritis of small and large joints that may lead to joint and periarticular structural damage and the consequences of systemic inflammation. This overview of early RA examines the unmet needs and challenges in RA, how to best diagnose RA, and pitfalls in early diagnosis and treatment. The rules for referral to a rheumatologist are reviewed. Primary care physicians are at the front line of early diagnosis and need to start disease-modifying therapy as soon as a diagnosis of RA is established.Copyright © 2021 Elsevier Inc. All rights reserved.
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