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so what kind of changes do we see in acpa+ arthralgia patients, in the 6 months prior to them developing inflamm arthritis?
- acpa titre up, rf pos
- ems, pain up
- esr up good things to keep an eye on in pre-ra emery group pos1046 #eular2023 
Rheumatologist and clinical pharmacologist, world traveller pretences on the upswing, sometimes journal podcast host. All opinions my own