Let's Talk About Rheumatoid Arthritis

不管你是刚被诊断出类风湿性关节炎还是担心自己可能患有类风湿性关节炎，你可能会紧张、困惑，甚至有点害怕。这很正常，在HealthCentral上出现的每一个患有慢性病的人都和你现在的感觉一样。但我们和他们是为你而来的。在这一页，你将发现现实和挑战的条件，但也最好的治疗，有益的生活方式的变化，哪里找到你的类风湿关节炎（RA）社区，所有的关键信息，以帮助你不仅管理，但茁壮成长。我们确信你有很多问题…我们是来回答他们的。

什么是类风湿关节炎，反正？

The term "arthritis" feels familiar because: Who hasn't seen the stock image ofelderly-person-gripping-knee？但事实上，这个词常常被误。首先，“关节炎”是广义术语;有不只是一个品种。类风湿关节炎（RA）是第二个最常见的类型，影响美国大约130万人，其中70％是女性，根据关节炎基金会。其次，RA并不只影响退休集，也没有命中率仅为膝盖和手。RA是一种自身免疫性疾病，导致全身炎症反应，这主要是渗入关节，但也有超越他们的影响。虽然它可以在任何时间发生，RA通常开发年龄40和60如此说来，RA还可以经由被称为幼年特发性关节炎条件影响儿童之间。

要真正了解RA，它有助于有一个形象在你的关节是如何工作的想法。所以，拍下这一刻：接头包含几个结构，使您可以轻松地移动。

• 健康的时候，关节的骨头末端被一种叫做软骨(yep, the same stuff your ear is made of).
• The entire joint is surrounded by a capsule, known as thesynovial sac。
• A thin layer of tissue called the滑膜线的囊。
• 膜分泌润滑滑液减少摩擦，保护运动时的软骨和关节。

但这里的时候RA撞击会发生什么：免疫系统本质上擦枪走火，并设置在滑膜的景点，攻击，如果是外来入侵者。

在早期阶段，滑膜发炎和增厚，引起疼痛并限制关节运动。有些人报告感觉温暖，甚至烧毁受累关节周围感以及刚性，使运动缓慢。随着时间的推移，未经处理的炎症可破坏的软骨和骨头。骨骼之间的空间可以变得更小，从而导致关节变得不稳定，错位，更痛苦，有时甚至不动。

最终，炎性组织开始积聚，有时会在该区域周围形成结节，最常见的是沿着前臂后部、肘部、关节和压力点，如骶骨、枕骨和足跟。这些结节会随着疾病活动而波动。然而，如果你想象有人手上有关节炎，那么最远的手指关节处非常坚硬的结节实际上是骨关节炎而不是类风湿关节炎。虽然类风湿关节炎以引起关节疼痛和炎症而闻名，但它会在你全身引发其他症状，包括干眼症、胸痛和骨质疏松症。

Worth noting: Before you feel any joint pain, it’s common to experience general, nonspecific RA symptoms; unfortunately, they’re the kind that seem to go witheverything–发烧、疲劳、食欲不振，因此与类风湿关节炎联系起来并不经常发生。你感觉到的关节紧绷可能只是早上的问题（让它看起来没什么大不了的）。休息时，任何滑液都会被软骨吸收，就像海绵吸水一样。当你移动的时候，软骨被“挤压”，而液体会冲洗关节。早上的第一件事，就是不会有太多多余的液体来保持放松。但你移动得越多，释放的液体就越多。

是什么原因导致类风湿关节炎在首位？

Scientists believe that the overactive immune response that precipitates RA is triggered by a complex interaction between genetic and environmental factors. Ital on the复杂一部分，因为即使是在医学上顶尖高手都想通了类风湿性关节炎的确切原因。当他们继续在神秘的蚕食，一些具体的相关性已经确定或正在研究：

• Genetics:Certain genes increase therisk for developing rheumatoid arthritis。例如，遗传标记HLA-DR4已经在欧洲血统与RA的人60％〜70％％的人。但是，什么是“遗传标记”？它在你的DNA任何变化，可能表明制定特定条件的风险增加。然而，仅仅拥有该基因并不意味着你必须RA或者你会发展它。因为有很多其他因素影响类风湿性关节炎因为单独的基因不能确认诊断或未来预测它，开发​​文档不诊断RA时进行基因检测。

• 作为一个女人：Since women get the disease three times more often than men, some experts believe hormonal factors may play a role in causing rheumatoid arthritis. It has been shown that estrogen can rev up the B cells (those are the white blood cells that attack the synovial membrane) and thus exacerbate autoimmune diseases like RA.

• 病毒和感染：While we know that RA occurs because the immune system attacks the body’s healthy tissue, the medical jury’s still out on thecause for that response。一些研究人员认为，健康的细胞可以在动作混合起来时，身体的感官从病毒或感染的危险;当免疫系统踢成齿轮和攻击细菌（又名免疫反应），人体自身的组织可能会袭击了。这时候，自身免疫性疾病，如RA弹出，和健康的关节围困下降。

Do I Have the Symptoms of Rheumatoid Arthritis?

There’s a reason you’re often shown an illustration of a disembodied hand when discussing RA with your doctor! Rheumatoid arthritis most often hits the small joints of the hands and wrists first, where you may feel warmth, swelling, or tenderness. The joint pain of RA has been described in all sorts of ways—deep, dull, aching, throbbing, warm, hot, tender. However, most agree that the pain is typically worse in the early mornings. It can take at least 30 to 45 minutes for joints to loosen and feel better, and it generally worsens again after periods of inactivity.

这就是说，类风湿性关节炎的症状也可以延伸到你的胳膊肘，肩，膝，髋，踝，脚和颈部。RA症状也往往对称发生;也就是说，在身体两侧的关节通常受累在同一时间。在某些情况下，其他器官系统，包括眼睛，心脏和肺，可能会发炎过，导致视力模糊，液体积聚周围的心脏或肺部，胸痛和呼吸短促一起。（现在，虽然，需要很长的，深吸一口气：RA是一种严重的疾病，但是并发症可以控制，甚至防止更多，下面。）

Many people experience symptoms in lengthy episodes of days to years (it’s unpredictable like that), which may be separated by remission periods, when your RA symptoms subside. In fact, women with RA who are pregnant typically experience a complete hiatus of all RA-related symptoms through the pregnancy, because the hormones and immune system adjust to the state of the body. The symptoms usually return full force post-partum, as the body returns to its normal hormonal balance and immune-system functioning.

Early symptoms of RA may include:

• Fatigue and weakness
• 低烧
• General feeling of poor health
• Loss of appetite and weight loss
• 接缝严密，通常在身体两侧，这可能是温暖的触感

对于长期未经治疗的类风湿性关节炎，可能会出现以下额外症状：

• 僵硬（尤其是醒来后）
• Hard—but painless—skin lumps, known as rheumatoid nodules, on the hands, elbows, knees, or toes that can range in size from a pea to a mandarin orange
• 关节弯曲畸形
• Dry mouth
• Red, itchy eyes
• 胸痛和呼吸困难（在先进的情况下，炎症会影响心脏和肺）

When to Call Your Doctor or Rheumatologist

预约了医生，如果您遇到晨僵与任何RA的其他早期症状，包括发烧和体重减轻。如果你没有被诊断，初级保健医生才能把你风湿病运行类风湿性关节炎必要的测试。如果您有风湿性关节炎，并遇到一个重大的眩光或出现新的症状，请联系您的风湿病或初级保健医生寻求帮助。

How Do Doctors Diagnose Rheumatoid Arthritis?

RA是根据你的病史，体格检查和实验室和影像学检查（例如，X射线）诊断。

Laboratory tests that may be used to help diagnose rheumatoid arthritis include:

• 抗环瓜氨酸肽（抗CCP）抗体：抗体是由你的身体做出过异物打蛋白。抗CCP是一种抗体存在于大多数RA患者。这个简单的验血寻找抗体的存在和水平。
• Complete blood count (CBC):This common test is used to measure levels of red blood cells, white blood cells, and platelets in the blood. A low red blood cell count can be an indication of the chronic inflammation seen in.
• C-反应蛋白（CRP）：你抽血，然后检查的CRP蛋白，它是由肝脏产生的，可以在你的血液中对炎症的反应被发现的存在。
• 红细胞沉降率（ESR）：将血液样本加入试管后，技术人员会测量红血球落到试管底部的速度。快速沉降表明炎症，血细胞聚集在一起，下降得更快。
• 类风湿因子：Also known as the latex agglutination test, this blood test is used to detect levels of this antibody, which are elevated in most patients who have RA.
• X射线：从X射线产生的图像显示，RA的炎症已在你的关节造成的损害的量。
• MRI:Magnetic resonance imaging uses a magnetic field, radiofrequency, and computer technology to get quality images that are so sensitive, they can detect RA damage six months before it shows up on an X-ray.
• Ultrasound:Sometimes referred to as ultrasonography, this is a very sensitive test that exposes both the bone erosion that happens in RA damage as well as the presence of inflammation.
• 滑液分析：In this test, which is performed when a joint has pain, inflammation, or swelling, fluid is drawn from the joint to help determine a potential diagnosis. It could be an infection, gout, or arthritis, among other things. It’s important for docs to get this right because, obviously, gout—for example—has a completely different treatment plan than RA.

What Is the Best Treatment for RA?

The goal of treatment is super simple: to keep you moving in all the ways you need to. That means reducing—and ideally stopping—the pain and inflammation that can eventually lead to joint damage. When RA is diagnosed early (check those symptoms!) and you’re aggressive with treatment, you're more likely to avoid complications later.

Treat-to-Target (T2T) is a newish treatment strategy that sets remission or minimal disease activity as the objective. How it works: Disease activity is frequently monitored and if the target (remission!) is not met, meds and doses are adjusted right then and there, at your appointment. How exactly? Docs follow a predetermined protocol, which could include medication, therapy, dietary changes, RA-friendly exercises, surgery, or a combination of treatment options.

Medications for RA: You’ve Got Options

现在比以往任何时候都有更多的类风湿关节炎药物和治疗选择，这使得你更容易找到最好的治疗计划。

RA medications include (listed, in general, in order of whether your RA is mild, moderate, or severe):

NSAIDS

非甾体抗炎药（NSAIDs），不动摇，不懈怠RA的进展，但是医生可能因炎症开一个大剂量治疗慢性疼痛。常用的NSAID包括那些你知道：

• Aspirin (Bufferin, Bayer)
• Celecoxib (Celebrex)
• Disalcid (salsalate)
• Ibuprofen (Advil and other brands)
• Naproxen (Aleve and other brands)
• Relafen (nabumetone)
• COX-2抑制剂中，具有内部出血或胃溃疡-一个被在大剂量使用了很长时间的其他NSAID的常见副作用的风险较低NSAID的一个子类。如果你做需要高剂量的其他NSAID的，它应该是一个短期修复。

DMARDs治疗

These disease-modifying anti-rheumatic drugs (hence: DMARDs) help preserve joints by blocking inflammation. Due to the unpredictable risk of potential side effects from DMARDs—such as upset stomach, infection, hair loss, and liver damage—you must be closely monitored with regular (weekly to every few months) lab tests when taking these medications. DMARDs include:

• Trexall（甲氨蝶呤）
• Azulfidine (sulfasalazine)
• Arava (leflunomide)
• Plaquenil (hydroxychloroquine)

生物制品

也被称为生物反应调节剂，这些药物被设计成控制免疫的某些部分系统实际上，他们是一类型的抗体。但是，而不是锁定到细菌或病毒，他们的目标，然后关机，蛋白质燃料炎症。（酷吧？）今天，有许多可用的不同的生物，所以医生根据他们把靶心对细胞进行分类。

• 肿瘤坏死因子抑制剂（TNF抑制剂）——例如抗(adalimumab),恩利(道),Cimzia (certolizumab), Simponi (golimumab), and Remicade (infliximab)—put the brakes on tumor necrosis factor, a naturally occurring substance that is overproduced in people with RA; it’s the main cause for the first inflammation a person with RA gets. They’re delivered by self-injection or IV infusion, depending on the drug.
• B-cell inhibitors一样，美罗华（利妥昔单抗），是通过IV和杀B淋巴细胞可产生火花的炎症给药。
• 白细胞介素-1（IL）阻滞剂, like Kineret (anakinra), are self-injected daily; they target interleukin-1, an inflammatory compound in the body.
• Interleukin-6 inhibitors, such as self-injected Kevzara (sarilumab) and IV-administered or self-injected Actemra (tocilizumab), stop interleukin-6 proteins from attaching to cells and triggering inflammation.
• T细胞抑制剂就像奥伦西亚（abatacept）一样，它附着在T细胞的表面（也就是引起炎症的白细胞）。医生会给你静脉注射这种药。

These medicines can slow the progression of RA and even bring about long periods of remission. Drawbacks? The delivery method—you must give yourself shots or visit an IV infusion center regularly—and because they tamp down your immune system, you may be more likely to catch colds and other infections.

Steroids

Oral corticosteroids, such as Deltasone (prednisone), offer quick relief from symptoms of rheumatoid arthritis and, in advanced cases, can prevent RA-related inflammation from harming your eyes and internal organs. Because prednisone has serious side effects when used for extended periods, it is often reserved for severe flare-ups or when other treatments are ineffective. Injections of corticosteroids into an affected joint may also be helpful.

手术

有一些RA情况下，通常是先进的和/或undertreated，其中手术可能是一个必要的考虑因素。含义：这个痛苦是很可能大伤元气，而且不再有正常的关节功能。有两种类型的手术：

• 滑膜切除术。任何时候，肿胀已经变得如此糟糕，你有一个很难移动和运作，这种手术可以进行。它会从受影响的关节病变滑膜，以减少肿胀和疼痛，并有助于防止进一步的关节损害。
• Arthroplasty.This surgery replaces the damaged joint with a mechanical one to restore joint function or fix a deformity. More than a million joint replacement surgeries are performed each year, mostly of the hip or knee, but the shoulders, elbows, and joints in the hands and feet may be replaced as well. Critical to discuss with your surgeon: the types of activities you want to continue after joint replacement. This will help your doc select the appropriate type of prosthesis and implantation technique, while giving you a deeper dive into the risks and limitations of surgery.

Other Types of Therapy That Can Help

如果你有风湿性关节炎,是的,你有一种慢性疾病。But there are a number of things you can do—in addition to typical meds—to help you feel your best. For this, consider assembling a medical team of specialists from a variety of fields, including psychiatry, nutrition, and radiology.Other health-related professionals may also be part of your team to assist you with the following:

• Movement.你的医生可能会给你开一个锻炼计划，或者建议你去看物理或职业治疗师。虽然过度剧烈的运动会加重你的症状，温和运动的程序可以增加你的关节的运动范围。因为水有助于支撑身体的一些练习更容易进行在游泳池或热水浴缸。跟你的医生哪些技术将是最适合你的。

• Sleep.考虑到这种情况有多不舒服，一半以上的类风湿关节炎患者有麻烦晚上睡得。此外，RA-相关的炎症往往比那些快耗尽能量水平不RA-这样一个坚实的8小时关眼的更为关键。通过使用枕头作为在需要额外的支撑（例如，下一个痛苦肩部或堆叠膝盖之间）开始今晚。

• Compresses.Since heat works to reduce muscle tension and stimulate blood circulation, many people with RA say that applying something warm (a fresh-from-the-dryer hoodie will do!) makes joints feel better before exercise and other physical activity. Cold compresses, on the other hand, reduce inflammation, swelling, and soreness after an RA flare.

• Topical creams.Applying creams or lotions containing capsaicin (an extract from chili peppers!) may soothe minor joint pain. Ditto for those with camphor, menthol, or turpentine oil. Try: capsaicin-infusedCapzasin HP Crème要么J.R.沃特金斯白色膏状搽剂，同时具有樟脑，松节油。

• Splints.你的风湿病可能会开夹板对于那些对你麻烦点区域。在严重发作，他们会通过固定关节帮助缓解疼痛。

• Diet.虽然关于饮食与RA的作用最为证据是传闻，也有一些研究，指示某些食物可能会有所帮助。尤其是地中海饮食（又名抗炎饮食）哪位强调鱼类，橄榄油，蔬菜，已被证明对发炎一定的影响，可能是由于ω-3在某些鱼类的脂肪酸。几个较小的研究还吹嘘在RA一个素食主义者或素食的乐于助人。全面了解RA and diethere.

What Triggers a Rheumatoid Arthritis Flare-up?

Like a tornado, the triggers of rheumatoid arthritis are unpredictable. The best way to gain more control? Pinpointthe culprits behind your flares。Everyone’s are different, but typical offenders include:

• 强调
• 感染，包括流感和感冒，激活你的免疫系统
• Physical trauma, like surgery or broken bones
• 后怀孕
• Poor dental health
• 某些食物，包括加工过的零食、红肉和过量的精制糖
• 过大的运动量
• 在天气剧烈，突然变化

RA是否有严重的并发症？

It can. Side effects from rheumatoid arthritis are manifestations of the condition itself and come in two varieties: those from untreated or undertreated RA, and those caused by joint damage.Common complications of RA包括：

• Heart disease。It affects more than half of all people with RA.
• Rheumatoid nodules, which occur in 30% to 40% of RA patients and are more bothersome than painful.
• 骨质疏松- 相关的骨折。这些是25％至30％，与RA的人比一般人群更常见。
• 感染（流感、葡萄球菌、肺炎）。它们在类风湿关节炎患者中是普通的两倍。
• 肺部疾病。它的发展在近四分之一的RA患者。
• 干眼症。This is the most common eye complaint for people with RA.

大约有10％的人被诊断为RA（勤勉处理）在一年内经历完全缓解，约40％go into remission两年内。这要感谢过去20年来在治疗方面取得的重大进展。

这就是为什么它是如此重要不能忽视symptoms—or to put off getting help. If the disease progresses and is not treated, that’s when the worst side effects can occur: severely restricted range of motion or, worse, gradual destruction of the joints. The inflammatory process slows down as fibrous tissue forms or bones fuse, and joints stop functioning altogether.

Prevention

While there is no known way to keep from getting rheumatoid arthritis, there are plenty of steps you can take to prevent complications and feel better overall.

• Quit smoking.A Swedish study of 34,101 women reported that even light cigarette smoking is associated with increased risk of RA in women and that quitting (or not starting at all) may reduce the risk.
• 保持健康的体重，缓解关节压力。如果你超重，你可能要考虑减肥计划，多余的体重可以把不必要的压力对你的关节。考虑与营养师的工作，以帮助建立一个个性化的饮食或程序，您的目标，具体目标（即少糖多的ω-3脂肪酸/鱼）用于管理RA。
• 吃健康的饮食。While there is no prescribed diet for RA, aim to avoid foods that cause inflammation, like packaged snacks,and include foods that promote bone health and immune function.
• 启动或跟上的例行演习。Research shows that exercise can help alleviate RA symptoms and even improve day-to-day functioning. It can also make you more flexible, help you sleep better, and boost your endurance.

What’s Life Like for People With RA?

A day-to-day with rheumatoid arthritis often includes pain and fatigue, which can, admittedly, be overwhelming. You may also have to deal with people who don't really understand your condition and can't fully grasp what you're going through. If RA is relatively new to you, or you’re exhausted and in constant pain, we understand how impossible it can feel to gather the strength to search for good care and try new treatments. So start small: First educate yourself about RA, then work toward building confidence in who you are as a person living with RA.

情绪健康

People who have rheumatoid arthritis often feel that they mustmask or disguise their issues, which can be a real drain on your brain. The best solutions?

• 说出来。只需使用你打算通过什么与RA可以删除的孤独和帮助，负担你的人帮助你在你需要的方式和朋友家人聊天。
• 想办法来缓解压力。尝试创建一个自我护理常规和探索替代疗法沉思状。
• 考虑向心理医生。被诊断为RA往往会引发你哀悼你的健康和工作对接受您的情况悲伤的过程。你可能会感到沮丧，特别是如果你的病是超级活跃。通过优先发展你的心理健康，并与辅导员或治疗师（你的家人或文档风湿病可以指你一个）链接，你会为自己设定了RA管理的所有其他方面坚持到底。

Sex Life

Fifty-nine percent of those with RA, per a study published inRheumatology，认为本病对他们的性生活产生负面影响。也难怪：根据问题的严重性，RA本身，以及一些用于治疗吃药吧，可以减少因欲望疲劳，僵硬，阴道干涩，勃起功能障碍和性欲下降。

So, what’s the fix? Patience, communication, and understanding between you and your partner are obviously key. There are also certain sex positions that may feel more comfortable for you, typically based on your most ouchy joints:

• 腕和/或肘痛：Lie on your back or side, and place pillows under your elbows as needed.
• 颈部疼痛：Don’t put pillows behind your neck or bend it forward when you’re on your back having sex. And be sure to talk to your doctor about how RA may affect your neck and how to protect it.
• 对于髋关节疼痛：If it hurts to move your hips around, have sex in a spoon position, with your partner behind you.
• 对于膝关节疼痛：You want to keep your knees straight, so try being on the bottom in the missionary position or lie on your sides facing each other.

Pregnancy

这是够复杂了无RA—so of course getting pregnant同the condition comes with a billion extra questions.我必须停止服药吗？(There are some medicines that are unsafe to take during pregnancy, while others are fine.)我将通过RA上给我的孩子？(In short, not necessarily.) Learn as much as possible aboutthe issues to consider, and talk to your rheumatologist early on (ideally, before you start trying) regarding medication risks.

Where Can I Find Rheumatoid Arthritis Communities?

类风湿性关节炎影响的人口比例如此之小，以至于在没有积极搜索的情况下，遇到另一个类风湿性关节炎IRL就像在电影院的特许摊位上发现查尔斯顿嚼片一样容易。但是，找到你的人究竟what you’re going through—is just as important to your mental wellbeing as finding a treatment plan that works. Form connections, discover resources, share both pain and inspiration, and make new friends, starting here.

顶级RA Instagrammers

• Britt Johnson,@hurtblogger

遵循这是因为：She’s been through the mud—and pretty much stuck there—and does not sugarcoat the realities. She做然而，发现最微小的地方光明和爱，不断地提醒你，如果她能找到生活的勇气，你也可以。

• Desiree Lee,@thebarbellbeautie

遵循这是因为：She may be afraid of needles (hello, Humira shots), but she is not afraid of a barbell. Serving up your daily dose of workout inspiration—and actual workout routines—without ignoring the exercise issues that come with a chronic condition.

• Renee Anderson,@the_rheumatoid_arthritis_​​mama

遵循这是因为：She’s relatable on every level: She covers all aspects of how RA affects her life—and shares that emotional rollercoaster in her captions—including how she maintains a robust marriage in a hurting bod, keeps mommin’ through exhaustion, and fuels her health with arthritis-approved recipes.

• 艾琳·戴维森，@时光流逝，时代网

遵循这是因为：She’s a mega-advocate who is hellbent on making her rounds to raise awareness about what it’s really like to have RA, and she makes no (sore) bones about it. She’s a born storyteller, with a side of sass.

• 艾梅松本，@fitaimee_ra

遵循这是因为：当你认为你不能改变妈妈的生活（甚至根本不能拥有它），不能挥霍在进进出出的汉堡上，不能集中精力锻炼时，艾美就来证明你错了all它的周期。

顶级RA相关的播客

• Chronic Briefs。通过灵活和热闹的作家丹尼尔马利托（谁拥有了幼年型关节炎超过25年了，因为他是11岁），该RA-相关的播客的档案是凄美的，有时LOL搞笑。
• 慢性性别。性教育要么and activist Kirsten Schultz hosts this explicit—as in, NSFW unless you’re wearing headphones!—podcast, uncovering truths about how chronic illness and disability (including RA) affect relationships, sex, and sexuality.
• 疾病+健康。艺术家和健康倡导者卡拉盖尔O'Regan已经住在一起，埃勒斯 - 当洛综合征，另一个联合相关条件，超过二十年;在这里，她做的一些最棘手的议题，保险，残疾的深入访谈，死亡率，因为它们相交慢性疾病和疼痛。
• 关节炎和工作由关节炎协会。While it’s not an ongoing series, this is a gold mine of solid work-related resources specific to balancing a career when you have RA.

RA支持组织和非营利组织

• Arthritis Foundation。该组织和其屡获殊荣的杂志，Arthritis Today，帮助您创建一个完整的生命个性化的计划。从测验（“什么是你的关节炎的饮食？”）和专家Q＆A的可自定义的程序和工具（“跟踪并做出反应，”症状跟踪应用程序），关节炎基金会鼓励你在你的RA诊断一下全盘。
• The Arthritis National Research Foundation。For more than four decades, this group has provided grants and organized fundraising for arthritis research into the causes and prevention of, and new treatments for, chronic joint conditions. Whether you're heavy into science or not, this is where you'll want to look for researchers’ latest and greatest RA findings.
• 类风湿关节炎支持网络。Its goal? Provide up-to-date information so that people with RA know their options for prescription drugs and alternative therapies, and fully understand their diagnosis. The site also has a treasure trove of resources, including a rheumatologist directory.
• 我的RA团队。这个庞大的社交网络几乎与别人谁拥有风湿性关节炎您连接。这是伟大的情感上的支持，实用的建议，并在管理条件真实世界的洞察。