RA,”Polyarthritis – rarely affects the DIPCervical spine instabilityPulmonary involvement (effusions with very low glucose)Subcutaneous rheumatoid nodulesDx: RF, anticitrullinated peptide IgImage: Narrowing of joint space, bony erosionTreat: -NSAID > Steroid-DMARD (take 6 weeks to work): MTX (hepatotoxic) > Lefluoamide > hydroxchloroquine or sulfasalazine or anti-TNFAnti-TNF = Etanercept, inflixamab
adalimumab; add to MTX for severe disease”