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Presence of autoantibodies in "seronegative" rheumatoid arthritis associates with classical risk factors and high disease activity.

Evan ReedAnna Karin HedströmMonika HanssonLinda Mathsson-AlmBoel BrynedalSaedis SaevarsdottirMartin CornilletPer-Johan JakobssonRikard HolmdahlKarl SkrinerGuy SerreLars AlfredssonJohan RönnelidKarin Lundberg
Published in: Arthritis research & therapy (2020)
"Seronegative" RA is not truly a seronegative disease subset. Additional screening for ACPA fine-specificities and IgA/IgG RF defines a group of patients that resembles seropositive patients with respect to risk factors and clinical picture and may contribute to earlier diagnosis for a subset of anti-CCP2-/IgM RF- patients with a high need for active treatment.
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