Rheumatology in practice

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Why early referral is essential
RDIP, Volume 5, Number 3.

Rheumatoid arthritis (RA) is characterised by its chronic progressive, destructive and debilitating nature. However, historically, therapeutic intervention used to be delayed due to concern over the toxicity of disease-modifying antirheumatic drugs (DMARDs) and the assumption that RA was generally a benign condition. The advent of the first early RA cohort studies altered the rheumatologists' perception of RA and revealed its true damaging nature.

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