Practice Guidelines for Patients with Rheumatoid Arthritis

In recent years, the guidelines for the diagnosis and treatment of rheumatoid arthritis (RA) by clinical experts have been continuously updated.

01RA is a chronic, systemic, autoimmune disease;

02 A positive rheumatoid factor (RF) alone cannot diagnose RA;

03RA has a certain genetic predisposition;

04 Anti-cyclic citrullinated polypeptide (CCP) antibody testing predicts the severity of joint destruction in patients with RA;

05Acupuncture can assist in the treatment of RA;

06 RA patients with anxiety symptoms can seek psychological intervention and drug treatment;

07 RA patients with sleep disorders can try psychological intervention or drug treatment, and appropriate exercise;

08RA patients should participate in exercise and choose appropriate exercise methods according to their condition;

09RA patients should quit smoking;

10 For patients with RA who have discontinued glucocorticoids and have been in remission for more than half a year, dose reduction of biological agents can be considered;

11 Methotrexate is contraindicated during pregnancy and lactation, and pregnancy can be prepared if it is stopped for more than 3 months;

12 Leflunomide is contraindicated during pregnancy and lactation, and pregnancy can be prepared when the concentration of the drug is not detected in the blood;

13 RA patients should be supplemented with calcium, vitamin D and bisphosphonates to prevent and/or treat osteoporosis;

14 Color ultrasonography for synovitis in stable RA patients predicts disease recurrence;

15RA patients should pay attention to the prevention, monitoring and treatment of liver injury;

16RA patients benefit greatly from participating in the fellowship