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Rheumatoid arthritis Dx, bariatric surgery and mortality, prostate cancer screening

Current Psychiatry. 2008 May;07(05):61-63
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Practice Points
  • Although most psychiatrists do not diagnose and treat a patient for RA, a basic understanding of diagnostic criteria can inform your decision to refer your patient to a primary care practitioner.
  • Many patients with RA also suffer from depression and anxiety and should be assessed for psychiatric disorders. Consider ordering anti-CCP and serum RF tests when you suspect a patient has RA.
  • The anti-CCP test is associated with fewer false-positive results than RF serum tests.
  • Early morning stiffness that lasts ≥1 hour and symmetrical MCP and PIP joint pain can indicate RA.

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Disclosure

Dr. McCarron is a consultant to Eli Lilly and Company.