Very early rheumatoid arthritis is the major predictor of major outcomes: clinical ACR remission and radiographic non-progression.

Abstract:

OBJECTIVES:To identify predictors of clinical remission as well as of no x-ray progression in a cohort of early rheumatoid arthritis (ERA) treated with a tight-control protocol. METHODS:A total of 121 consecutive patients with ERA were treated to reach European League Against Rheumatism (EULAR) and/or American College of Rheumatology (ACR) clinical remission with methotrexate (MTX) for 3 months, then with a combination with anti-tumour necrosis factor if the patient did not achieve a 44-joint Disease Activity Score (DAS44) ≤2.4. At baseline and after 12 months all the patients had hand and foot joint radiographs. Very early rheumatoid arthritis (VERA) was defined as a disease with symptoms of less than 12 weeks. RESULTS:In all, 46.3% of the patients reached DAS remission and 24.8% achieved ACR remission. More than 60% of patients reached remission with MTX. Male sex and an erythrocyte sedimentation rate <35 mm/h at onset arose as significant predictors of EULAR remission, while VERA disease was the only predictor of ACR remission. At baseline, 28.1% of the patients were erosive. Multivariate analysis demonstrated that the only independent predictor of erosiveness was 'not having VERA disease'. After 12 months, VERA was the only factor predicting a lack of new erosions. CONCLUSIONS:VERA represents the best therapeutic opportunity in clinical practice to achieve a complete remission and to stop the erosive course of rheumatoid arthritis.

journal_name

Ann Rheum Dis

authors

Bosello S,Fedele AL,Peluso G,Gremese E,Tolusso B,Ferraccioli G

doi

10.1136/ard.2010.142729

subject

Has Abstract

pub_date

2011-07-01 00:00:00

pages

1292-5

issue

7

eissn

0003-4967

issn

1468-2060

pii

ard.2010.142729

journal_volume

70

pub_type

临床试验,杂志文章
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    更新日期:2011-10-01 00:00:00

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    doi:10.1136/ard.2003.017673

    authors: Hachulla E,Coghlan JG

    更新日期:2004-09-01 00:00:00

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    authors: Smolen JS,Schoels MM,Nishimoto N,Breedveld FC,Burmester GR,Dougados M,Emery P,Ferraccioli G,Gabay C,Gibofsky A,Gomez-Reino JJ,Jones G,Kvien TK,Murakami M,Betteridge N,Bingham CO 3rd,Bykerk V,Choy EH,Combe B,Cutolo M

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    journal_title:Annals of the rheumatic diseases

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    authors: Sharp JT,Wolfe F,Corbett M,Isomaki H,Mitchell DM,Furst DE,Sibley J,Shipley M

    更新日期:1993-05-01 00:00:00

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    更新日期:1977-04-01 00:00:00

  • Synovial fluid chondroitin and keratan sulphate epitopes, glycosaminoglycans, and hyaluronan in arthritic and normal knees.

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    更新日期:1997-05-01 00:00:00

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    journal_title:Annals of the rheumatic diseases

    pub_type: 临床试验,杂志文章

    doi:10.1136/ard.2007.081653

    authors: Saadoun D,Resche-Rigon M,Sene D,Perard L,Karras A,Cacoub P

    更新日期:2008-10-01 00:00:00

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    abstract:OBJECTIVES:Few studies have addressed the natural course of, or prognostic factors for the salivary and lacrimal function in primary Sjögren syndrome (SS). Except for the early stages, glandular function has been seemingly stable, and SS A antigen (SSA) seropositivity and hypocomplementemia may predict a decline in the...

    journal_title:Annals of the rheumatic diseases

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    更新日期:2008-07-01 00:00:00

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    pub_type: 共识发展会议,杂志文章,实务指引

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  • How does tibial cartilage volume relate to symptoms in subjects with knee osteoarthritis?

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    pub_type: 杂志文章

    doi:10.1136/ard/2003.007666

    authors: Wluka AE,Wolfe R,Stuckey S,Cicuttini FM

    更新日期:2004-03-01 00:00:00

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    更新日期:2008-12-01 00:00:00

  • Role of nitric oxide in the regulation of T cell functions.

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    pub_type: 杂志文章,评审

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    authors: Niedbala W,Cai B,Liew FY

    更新日期:2006-11-01 00:00:00

  • Monosodium urate monohydrate crystals inhibit osteoblast viability and function: implications for development of bone erosion in gout.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

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    更新日期:2011-09-01 00:00:00

  • IRF5 haplotypes demonstrate diverse serological associations which predict serum interferon alpha activity and explain the majority of the genetic association with systemic lupus erythematosus.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/annrheumdis-2011-200463

    authors: Niewold TB,Kelly JA,Kariuki SN,Franek BS,Kumar AA,Kaufman KM,Thomas K,Walker D,Kamp S,Frost JM,Wong AK,Merrill JT,Alarcón-Riquelme ME,Tikly M,Ramsey-Goldman R,Reveille JD,Petri MA,Edberg JC,Kimberly RP,Alarcón GS,

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  • Effects of BI 655064, an antagonistic anti-CD40 antibody, on clinical and biomarker variables in patients with active rheumatoid arthritis: a randomised, double-blind, placebo-controlled, phase IIa study.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章,多中心研究,随机对照试验

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  • Serum selenium concentrations in rheumatoid arthritis.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.50.6.376

    authors: O'Dell JR,Lemley-Gillespie S,Palmer WR,Weaver AL,Moore GF,Klassen LW

    更新日期:1991-06-01 00:00:00

  • Familial Felty's syndrome.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.35.3.279

    authors: Blendis LM,Jones KL,Hamilton EB,Williams R

    更新日期:1976-06-01 00:00:00

  • Cartilage and bone macromolecules in knee joint synovial fluid in rheumatoid arthritis: relation to development of knee or hip joint destruction.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.56.2.91

    authors: Månsson B,Geborek P,Saxne T

    更新日期:1997-02-01 00:00:00

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/annrheumdis-2012-202713

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    更新日期:2014-02-01 00:00:00

  • Maternal age influences risk for HLA-B27 associated ankylosing enthesopathy in transgenic mice.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.54.9.754

    authors: Weinreich S,Hoebe B,Ivanyi P

    更新日期:1995-09-01 00:00:00

  • Report on chloroquine and dapsone in the treatment of rheumatoid arthritis: a 6-month comparative study.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 临床试验,杂志文章

    doi:10.1136/ard.43.2.200

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.62.1.58

    authors: Karassa FB,Magliano M,Isenberg DA

    更新日期:2003-01-01 00:00:00

  • Triple crystal disease: monosodium urate monohydrate, calcium pyrophosphate dihydrate, and basic calcium phosphate in a single joint.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.47.10.864

    authors: Halverson PB,Ryan LM

    更新日期:1988-10-01 00:00:00

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    journal_title:Annals of the rheumatic diseases

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

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    更新日期:1993-12-01 00:00:00

  • Systemic and mucosal antibodies to Klebsiella in patients with ankylosing spondylitis and Crohn's disease.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.51.12.1296

    authors: O'Mahony S,Anderson N,Nuki G,Ferguson A

    更新日期:1992-12-01 00:00:00

  • In erosive hand osteoarthritis more inflammatory signs on ultrasound are found than in the rest of hand osteoarthritis.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/annrheumdis-2012-201458

    authors: Kortekaas MC,Kwok WY,Reijnierse M,Huizinga TW,Kloppenburg M

    更新日期:2013-06-01 00:00:00

  • Metabolic pathways and immunometabolism in rare kidney diseases.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/annrheumdis-2017-212935

    authors: Grayson PC,Eddy S,Taroni JN,Lightfoot YL,Mariani L,Parikh H,Lindenmeyer MT,Ju W,Greene CS,Godfrey B,Cohen CD,Krischer J,Kretzler M,Merkel PA,Vasculitis Clinical Research Consortium, the European Renal cDNA Bank cohort, and th

    更新日期:2018-08-01 00:00:00

  • Bronchiolitis obliterans in systemic lupus erythematosus: beneficial effect of intravenous cyclophosphamide.

    abstract::A 49 year old white woman with systemic lupus erythematosus and bronchiolitis obliterans was treated with prednisone (1 mg/kg daily), which led to a transitory improvement in pulmonary status. Cyclophosphamide was then added--4 mg/kg daily intravenously for five days, then 2 mg/kg daily orally--and this was followed b...

    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.50.12.956

    authors: Godeau B,Cormier C,Menkes CJ

    更新日期:1991-12-01 00:00:00

  • Differential effects of epratuzumab on peripheral blood B cells of patients with systemic lupus erythematosus versus normal controls.

    abstract:OBJECTIVE:B lymphocytes have been implicated in the pathogenesis of lupus and other autoimmune diseases, resulting in the introduction of B cell-directed therapies. Epratuzumab, a humanised anti-CD22 monoclonal antibody, is currently in clinical trials, although its effects on patients' B cells are not completely under...

    journal_title:Annals of the rheumatic diseases

    pub_type: 临床试验,杂志文章

    doi:10.1136/ard.2007.075762

    authors: Jacobi AM,Goldenberg DM,Hiepe F,Radbruch A,Burmester GR,Dörner T

    更新日期:2008-04-01 00:00:00