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porter et al. asymptomatic pre-ra to symptomatic pre-ra to early ra steady increase in bacterial infection compared to hc. causality or reverse causality? i think more likely reverse - disease related immunosuppresion #acr22 abstr#0535 
Rheumatologist @stjamesdublin , Associate Professor @tcddublin , Acute Medicine, Vasculitis, ILD, Retired @Emeunet Executive Committee member, @rheum_covid CASC