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• W2143065147 abstract "<b>Background:</b> Early treatment prevents progression of joint damage in rheumatoid arthritis (RA), but diagnosis in early disease is impeded by lack of appropriate diagnostic criteria. <b>Objective:</b> To study the value of rheumatoid factor (RF), anti-cyclic citrullinated peptide autoantibodies (anti-CCP), and anti-RA33 autoantibodies for diagnosis of RA and prediction of outcome in patients with very early arthritis. <b>Methods:</b> The prospective follow up inception cohort included 200 patients with very early (<3 months) inflammatory joint disease. Autoantibodies were measured at baseline and analysed in a tree based model which aimed at determining the added diagnostic value of testing for anti-CCP and anti-RA33 as compared with RF alone. <b>Results:</b> RA was diagnosed in 102 patients, while 98 developed other inflammatory arthropathies. Receiver operator curve analysis showed an optimum cut off level for RF at 50 U/ml, above which anti-CCP and anti-RA33 had no additional diagnostic value. Remarkably, RF ⩾50 U/ml and anti-CCP showed similar sensitivity and high specificity for RA, but overlapped considerably. Anti-RA33 was less specific and did not correlate with RF or anti-CCP. Among patients with RA, 72% showed at least one of these three autoantibodies, compared with 15% of non-RA patients. RF ⩾50 U/ml and anti-CCP were predictors of erosive disease, whereas anti-RA33 was associated with mild disease. <b>Conclusions:</b> Stepwise autoantibody testing in early inflammatory joint disease, starting with RF, followed by anti-CCP (in patients with RF <50 U/ml), and finally anti-RA33, should be used as a sensitive and effective strategy for distinguishing patients with RA at high risk for poor outcome." @default.
• W2143065147 created "2016-06-24" @default.
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• W2143065147 date "2005-12-01" @default.
• W2143065147 modified "2023-10-18" @default.
• W2143065147 title "Autoantibody profiling as early diagnostic and prognostic tool for rheumatoid arthritis" @default.
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• W2143065147 doi "https://doi.org/10.1136/ard.2005.035691" @default.
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