Letters Rheumatoid arthritis debate

Current treatment of rheumatoid arthritis

BMJ 2011; 343 doi: http://dx.doi.org/10.1136/bmj.d7050 (Published 01 November 2011) Cite this as: BMJ 2011;343:d7050
  1. Andrew K Gough, rheumatologist,
  2. Joanne Foo, ST3 rheumatology1
  1. 1Harrogate District Hospital, Harrogate HG2 7SX, UK
  1. andrew.gough{at}hdft.nhs.uk

Spence makes some challenging observations about rheumatoid arthritis.1 His assertion that it is becoming less common is difficult to answer as current criteria are different from those used in the 1950s, when most forms of inflammatory arthritis were thought to be rheumatoid. His view that the disease is now milder is also impossible to answer as treatment outcomes have improved dramatically. How can we …

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