Let's Talk About Rheumatoid Arthritis

Whether you’ve just been diagnosed or worry you could have rheumatoid arthritis, you’re probably nervous, confused, and maybe even a little scared. That’s normal, and everyone featured on HealthCentral with a chronic illness felt just like you do now. But we—and they—are here for you. On this page alone, you’ll discover the realities and challenges of the condition, but also the best treatments, helpful lifestyle changes, where to find your rheumatoid arthritis (RA) community, and all the crucial information to help you not merely manage—but thrive. We’re sure you’ve got a lot of questions...and we’re here to answer them.

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。

• When healthy, the ends of the bones in a joint are protected from rubbing together by an elastic slippery material calledcartilage(yep, the same stuff your ear is made of).
• 整个关节由胶囊包围，被称为滑膜囊。
• A thin layer of tissue called thesynovial membrane线的囊。
• 膜分泌润滑synovial fluid, which reduces friction, protecting the cartilage and joints during movement.

But here’s what happens when RA strikes: The immune system essentially misfires and sets its sights on the synovial membrane, attacking as if it’s a foreign invader.

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。

Eventually, inflammatory tissue begins to build up, sometimes causing nodules to form around the area, most commonly along the back of the forearms, elbows, joints, and pressure points such as sacrum, occiput, and heel. These nodules will fluctuate with disease activity. However, if you imagine someone with arthritis in their hands, the very firm nodules at the furthest finger joints are actually those seen in Osteoarthritis and not rheumatoid arthritis. And while RA is known for causing joint pain and inflammation, it can spark other symptoms throughout your body, including dry eyes, chest pain, and osteoporosis.

值得注意的是：在你感到任何关节疼痛，它的共同经验一般情况下，非特异性症状RA;不幸的是，他们似乎去的那种everything–fever, fatigue, loss of appetite—so linking them with RA doesn’t often happen. And that tightness you feel in your joints may only be an issue in the morning (making it seem like not such a big deal). With rest, any synovial fluid you have is soaked up by the cartilage, much like a sponge absorbs water. As you move, the cartilage is "squeezed," and the fluid bathes the joint. First thing in the a.m., there’s just not going to be a lot of extra fluid to keep things loose. But the more you move, the more fluid is released.

What Causes Rheumatoid Arthritis in the First Place?

科学家们认为，这种沉淀RA过度活跃的免疫反应是由遗传和环境因素之间复杂的相互作用引起的。称作Ital上复杂一部分，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:某些基因增加risk 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：由于妇女得这种病的三倍比男性更经常，一些专家认为荷尔蒙因素可能在导致类风湿性关节炎的作用。已经表明雌激素可以加快转速的B细胞（那些是白血细胞攻击的滑膜），从而加剧自体免疫疾病等RA。

• Viruses and infections: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。Some researchers believe that healthy cells may get mixed up in the action when the body senses danger from a virus or infection; when the immune system kicks into gear and attacks the germs (aka an immune response), the body’s own tissue may get assaulted, too. That's when autoimmune diseases like RA pop up, and healthy joints fall under siege.

难道我有风湿性关节炎的症状是什么？

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:

• 疲乏无力
• Low-grade fever
• 身体不好的感觉一般
• 食欲和体重下降
• 接缝严密，通常在身体两侧，这可能是温暖的触感

With long-term, untreated rheumatoid arthritis, these additional symptoms may occur:

• Stiffness (especially after waking up)
• 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
• Bent and misshapen joints
• 口干
• 红，眼睛发痒
• 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 is diagnosed based on your medical history, a physical examination, and laboratory and imaging tests (e.g., X-rays).

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

• 抗环瓜氨酸肽（抗CCP）抗体：Antibodies are proteins made by your body to fight off foreign substances. Anti-CCP is an antibody present in most RA patients. This simple blood test looks for the presence and level of the antibody.
• Complete blood count (CBC):这种常见的测试用于测量血液中的红血细胞，白血细胞的水平，和血小板。低红细胞计数可以是在观察到的慢性炎症的指示。
• C-reactive protein (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）：After a sample of your blood is added to a tube, a technician measures the rate at which the red blood cells fall to the bottom of the tube. A fast sedimentation indicates inflammation, with blood cells clumping together and falling quicker.
• 类风湿因子：又称乳胶凝集试验，该验血来检测这种抗体，这是在谁拥有RA大多数患者升高的水平。
• 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:有时被称为超声检查，这是一个非常敏感的试验暴露都出现这种情况在RA损伤以及炎症的存在的骨侵蚀。
• 滑液分析：在该试验中，当一个关节具有疼痛，炎症，或肿胀进行，流体从关节绘制帮助确定潜在的诊断。这可能是感染，痛风或关节炎，等等。对于文档得到这个权利，因为，很明显，痛风，例如，具有比RA完全不同的治疗方案是非常重要的。

什么是最好的治疗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.

治疗 - 目标（T2T）是一种新望的治疗策略，其设定缓解或最小疾病活动为目标。工作原理：疾病活动经常监测，如果目标（缓解！）不满足，吃药和剂量进行调整，然后有，在你的约会。究竟如何？文档遵循预定的协议，其中可能包括药物，治疗，饮食结构的改变，RA-友好的练习，手术或治疗方案的组合。

Medications for RA: You’ve Got Options

There are more rheumatoid arthritis medications and treatment choices now available than ever before, which makes it easier to find the best treatment plan for you.

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)
• 布洛芬（布洛芬等品牌）
• 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

这些疾病的抗风湿药物（因此：DMARDs治疗）的帮助下通过阻断炎症保留关节。由于潜在的副作用不可预知的风险的DMARDs，如胃部不适，感染，脱发，和肝损伤，你必须密切定期（每周，每隔几个月）的实验室测试服用这些药物时监控。的DMARD包括：

• Trexall（甲氨蝶呤）
• 柳氮磺胺吡啶（柳氮磺吡啶）
• Arava (leflunomide)
• PLAQUENIL（羟氯喹）

Biologics

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）—such as Humira (adalimumab), Enbrel (etanercept), 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, like Rituxan (rituximab), are administered through an IV and kill B-lymphocytes that can spark inflammation.
• Interleukin-1 (IL) blockers, 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, like Orencia (abatacept), latch on to the surface of T-cells (aka inflammation-causing white blood cells). A doctor will give you this medicine via IV.

这些药物可以减缓RA的进展，甚至带来缓解长时间。缺点？传授的方法，你必须给自己拍摄或浏览静脉滴注中心定期，因为他们平息你的免疫系统，你可能会更容易感冒，其他感染。

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.

Surgery

There are some RA cases—usually advanced and/or undertreated—where surgery may be a necessary consideration. Meaning: The pain is likely debilitating, and you no longer have normal joint function. There are two surgery types:

• 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。
• 关节置换术。这种手术替换受损的关节用机械之一，恢复关节功能或修复畸形。每年有超过一百万关节置换手术进行，主要是髋关节或膝关节，但肩，肘，并在手脚关节可更换为好。关键你的医生讨论：该类型的活动，你希望关节置换后继续。这将有助于您的文档选择合适的假体类型和植入技术，同时也让您更加深入地了解手术的风险和局限性。

Other Types of Therapy That Can Help

如果你have RA, yes, you have a chronic illness. 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.Your doctor may prescribe an exercise program or advise you to see a physical or occupational therapist. While exercise that is too vigorous may worsen your symptoms,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。

• 睡觉。Given how uncomfortable the condition is, more than half of people with RA have trouble晚上睡得。Plus, RA-related inflammation tends to deplete energy levels faster than for those without RA—so a solid eight hours of shut-eye is even more critical. Start tonight by using pillows as extra support where needed (for example, under a painful shoulder or between stacked knees).

• Compresses.自热工作,减少肌肉紧张和机枪兵ulate 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.

• 外用药膏。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霜要么J.R.沃特金斯白色膏状搽剂，同时具有樟脑，松节油。

• 夹板。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.While most evidence about the role of diet with RA is anecdotal, there are some studies that indicate certain foods may be helpful. In particular, the Mediterranean diet (aka the anti-inflammatory diet)—which emphasizes fish, olive oil, and vegetables—has been shown to have some impact on inflammation, likely due to the omega-3 fatty acids in certain fish. Several smaller studies also tout the helpfulness of a vegan or vegetarian diet on RA. Learn all aboutRA和饮食这里。

是什么触发类风湿关节炎发作了？

Like a tornado, the triggers of rheumatoid arthritis are unpredictable. The best way to gain more control? Pinpointthe culprits behind your flares。每个人的不同，但典型的罪犯包括：

• 强调
• Infections, including flu and cold, that activate your immune system
• 身体创伤，如手术或骨折
• Post-pregnancy
• 可怜的牙齿健康
• Certain foods, including processed snacks, red meat, and excess refined sugars
• 过大的运动量
• Dramatic, sudden changes in weather

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.RA的常见并发症包括：

• 心脏病。它影响比RA所有的人的一半以上。
• 类风湿结节，这发生在30％至RA患者的40％，并且比痛苦更麻烦。
• 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。
• Infections (flu, staph, pneumonia). They’re twice as common in people with RA.
• 肺部疾病。它的发展在近四分之一的RA患者。
• 干眼症。这是最常见的眼部投诉人与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 remissionwithin two years. That’s thanks to significant advances in treatment over the past two decades.

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

虽然是从获得类风湿性关节炎保持没有已知的方法，也有很多的步骤，你可以采取的预防并发症，感觉更好的整体。

• 戒烟。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are overweight, you may want to consider a weight-loss plan, as excess pounds can put unnecessary stress on your joints. Consider working with a dietitian to help build a personalized diet or program that targets your specific goals (i.e. less sugar and more omega-3 fatty acids/fish) for managing your RA.
• Eat a healthy diet.虽然对于RA没有规定的饮食，目的是避免食物，引起炎症，如包装的零食，并且包括促进骨骼健康和免疫功能的食物。
• 启动或跟上的例行演习。研究表明，运动可以帮助缓解RA症状，甚至提高一天的日常运作。它也可以让你更加灵活，可以帮助您更好的睡眠，并提高你的耐力。

What’s Life Like for People With RA?

一天到一天的类风湿关节炎通常包括疼痛和疲劳，这可以，无可否认，是压倒性的。您可能还需要对付的人谁不真正了解你的病情，并不能完全掌握你正在经历什么。如果RA是比较新的给你，或者你疲惫不堪，在不断的痛苦，我们知道如何不可能能感受到聚集力量来寻找良好的护理和尝试新的治疗方法。所以，从小事做起：首先教育自己RA，然后努力建立在你的生活与RA的人谁信心的工作。

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, felt the disease had a negative effect on their sex life. And no wonder: Depending on its severity, RA itself—along with some of the meds used to treat it—can decrease desire due to fatigue, stiffness, vaginal dryness, erectile dysfunction, and a decreased libido.

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:

• For wrist and/or elbow pain: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.

怀孕

这是够复杂了无RA—so of course getting pregnantwith条件带有一个额外的十亿的问题。Will I have to come off my medication?(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？（总之，不一定。）了解尽可能多地了解将要考虑的问题，以及关于药物的风险倾诉你的风湿病早期（你开始尝试最好，之前）。

在哪里可以找到类风湿关节炎社区？

RA affects such a small percentage of the population that, without actively searching, running into another RA-er IRL is as likely as spotting a Charleston Chew at a movie-theater concession stand. Yet, finding your people—those who know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.

Top RA Instagrammers

• 布里特·约翰逊，@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es, however, find light and love in the tiniest places, constantly reminding you that if she can find the strength, so can you.

• 西瑞利，@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.

• Eileen Davidson,@chroniceileen,chroniceileen.com

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：当你认为你不能岩石妈妈生活(或电动汽车en have it at all), splurge on In-N-Out Burger, or muster the energy to exercise, Aimee is here to prove you wrong onall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。性别教育家和社会活动家柯尔斯滕·舒尔茨的主机在显式中，NSFW除非你戴着耳机！-podcast，揭露有关的慢性疾病和残疾（包括RA）是如何影响的关系，性别和性的真理。
• Sickness + Health。Artist and health advocate Cara Gael O’Regan has lived with Ehlers-Danlos Syndrome, another joint-related condition, for more than two decades; here, she does in-depth interviews on some of the toughest topics—insurance coverage, disability, mortality—as they intersect with chronic conditions and pain.
• 关节炎关节炎和工作的社会。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.

顶级RA支持团体和非营利组织

• 关节炎基金会。该组织和其屡获殊荣的杂志，今天关节炎，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。在超过四十年来，这组提供赠款和关节炎研究的原因和预防，并为新的治疗方法，慢性关节条件组织筹款。无论您是重到科学与否，这就是你要寻找研究人员的最新和最伟大的RA结果。
• 类风湿关节炎Support Network。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.
• My RA Team。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。