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Flare during tapering of biological DMARDs in patients with rheumatoid arthritis in routine care: characteristics and predictors.

Lene TerslevMikkel OstergaardStylianos GeorgiadisCecilie Heegaard BraheKaren EllegaardU M DohnViktoria FanaTorsten MøllerLars JuulTuan Khai HuynhSimon KrabbeLykke Midtbøll ØrnbjergDaniel GlinatsiHenrik RøgindAnnette HansenJesper NørregaardSøren JacobsenDorte V JensenNatalia ManiloKarsten AsmussenMikael BoesenZoreh RastiemadabadiLone Morsel-CarlsenJakob Møllenbach MøllerNiels Steen KroghMerete Lund Hetland
Published in: RMD open (2022)
The majority of real-world patients with RA tapering bDMARDs flared during tapering, with the majority regaining remission after stepwise dose increase. Demographic and imaging parameters (MR-osteitis/ultrasound greyscale synovitis) were independent predictors of immediate flare and flare overall and may be of importance for clinical decision-making in patients eligible for tapering.
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