One year in review
Seronegative rheumatoid arthritis: one year in review 2023
L. De Stefano1, B. D'onofrio2, S. Gandolfo3, E. Bozzalla Cassione4, D. Mauro5, A. Manzo6, F. Ciccia7, S. Bugatti8
- Department of Internal Medicine and Therapeutics, Università di Pavia, and Division of Rheumatology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
- Department of Internal Medicine and Therapeutics, Università di Pavia, and Division of Rheumatology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
- U.O. di Reumatologia, Ospedale San Giovanni Bosco, Napoli, Italy.
- Department of Internal Medicine and Therapeutics, Università di Pavia, and Division of Rheumatology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
- Dipartimento di Medicina di Precisione, Università della Campania L. Vanvitelli, Napoli, Italy.
- Department of Internal Medicine and Therapeutics, Università di Pavia, and Division of Rheumatology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
- Dipartimento di Medicina di Precisione, Università della Campania L. Vanvitelli, Napoli, Italy.
- Department of Internal Medicine and Therapeutics, Università di Pavia, and Division of Rheumatology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy. serena.bugatti@unipv.it
CER16652
2023 Vol.41, N°3
PI 0554, PF 0564
One year in review
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PMID: 36971084 [PubMed]
Received: 07/03/2023
Accepted : 13/03/2023
In Press: 23/03/2023
Published: 23/03/2023
Abstract
In the past 20 years, earlier diagnosis and more intensive management have considerably improved the prognosis of rheumatoid arthritis (RA), with milder disease course achieved in particular in seropositive patients. In contrast, seronegative RA has remained largely neglected, and continues to be surrounded by uncertainties regarding its correct diagnosis, clinical phenotype, optimal treatment strategies and relevant outcomes. The purpose of this review is to summarise new insights about the pathogenic, clinical and prognostic peculiarities of seronegative RA that emerged during 2022, and that make this disease subset at least partially different from its seropositive counterpart.