Modern management of rheumatoid arthritis – making a case for early aggressive medical treatment

Rheumatoid arthritis (RA) is a chronic inflammatory joint disease that affects approximately 1% of the adult population. Some 30 to 40% of patients experience work disability within five years of onset of the disease, but early aggressive medical treatment has vastly improved the long-term outcome o...

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Main Author: Mohammed Tikly
Format: Article
Language:English
Published: AOSIS 2009-08-01
Series:South African Family Practice
Subjects:
Online Access:https://safpj.co.za/index.php/safpj/article/view/1319
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author Mohammed Tikly
author_facet Mohammed Tikly
author_sort Mohammed Tikly
collection DOAJ
description Rheumatoid arthritis (RA) is a chronic inflammatory joint disease that affects approximately 1% of the adult population. Some 30 to 40% of patients experience work disability within five years of onset of the disease, but early aggressive medical treatment has vastly improved the long-term outcome of RA. The combination of simple clinical tools to measure disease activity, the use of traditional disease-modifying anti-rheumatic drugs (DMARDs) early in the course of the disease and the introduction of targeted biologic agents for DMARD-resistant disease has greatly reduced the risk of joint deformities, physical disability and premature death. The family practitioner, by suspecting RA early in its course and jointly monitoring efficacy and toxicity of DMARDs with the rheumatologist, plays a pivotal role in improving the care and outcome of the RA patient.
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spelling doaj-art-c67208317f8d498da527ceae04fcfbbb2025-08-20T03:47:10ZengAOSISSouth African Family Practice2078-61902078-62042009-08-0151410.1080/20786204.2009.108738661114Modern management of rheumatoid arthritis – making a case for early aggressive medical treatmentMohammed Tikly0Division of Rheumatology, Chris Hani Baragwanath Hospital and University of the Witwatersrand, JohannesburgRheumatoid arthritis (RA) is a chronic inflammatory joint disease that affects approximately 1% of the adult population. Some 30 to 40% of patients experience work disability within five years of onset of the disease, but early aggressive medical treatment has vastly improved the long-term outcome of RA. The combination of simple clinical tools to measure disease activity, the use of traditional disease-modifying anti-rheumatic drugs (DMARDs) early in the course of the disease and the introduction of targeted biologic agents for DMARD-resistant disease has greatly reduced the risk of joint deformities, physical disability and premature death. The family practitioner, by suspecting RA early in its course and jointly monitoring efficacy and toxicity of DMARDs with the rheumatologist, plays a pivotal role in improving the care and outcome of the RA patient.https://safpj.co.za/index.php/safpj/article/view/1319rheumatoid arthritisearly interventiondisease-modifying anti-rheumatic drugs
spellingShingle Mohammed Tikly
Modern management of rheumatoid arthritis – making a case for early aggressive medical treatment
South African Family Practice
rheumatoid arthritis
early intervention
disease-modifying anti-rheumatic drugs
title Modern management of rheumatoid arthritis – making a case for early aggressive medical treatment
title_full Modern management of rheumatoid arthritis – making a case for early aggressive medical treatment
title_fullStr Modern management of rheumatoid arthritis – making a case for early aggressive medical treatment
title_full_unstemmed Modern management of rheumatoid arthritis – making a case for early aggressive medical treatment
title_short Modern management of rheumatoid arthritis – making a case for early aggressive medical treatment
title_sort modern management of rheumatoid arthritis making a case for early aggressive medical treatment
topic rheumatoid arthritis
early intervention
disease-modifying anti-rheumatic drugs
url https://safpj.co.za/index.php/safpj/article/view/1319
work_keys_str_mv AT mohammedtikly modernmanagementofrheumatoidarthritismakingacaseforearlyaggressivemedicaltreatment