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Sandeep Bawa and Paul Wordsworth
Sicca syndrome ♦ Felty’s syndrome: neutropenia, splenomegaly, and lymphadenopathy ♦ Other: rheumatoid
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Raashid Luqmani, Maarten Boers, and Theodore Pincus (eds)
arthritis Key points • Patients with rheumatoid
arthritis should be diagnosed as early as possible so that effective treatment can be initiated to prevent joint damage and comorbidities • Any swelling or persistent (>3 weeks) pain and stiffness in multiple joint areas should prompt referral to a rheumatologist • Typical joint patterns in RA include involvement of the metacarpophalangeal, metatarsophalangeal, wrist, and knee joints • The more difficult differential diagnosis is fibromyalgia, which also can co-exist in 20% of cases • Rheumatoid