A. >18 years, meeting the American College of Rheumatology (ACR) diagnostic criteria |
B. Has developed RA for >6 months but <8 months per year |
C. Any three of four |
At least eight joints with tenderness |
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Scoring by clinician: 2–4 (full score: 5) |
|
Self-scoring patient: 2–4 (full score: 5) |
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Serum C-reactive protein >15 mg/dl |
D. Laboratory examination |
Hemoglobin (HB) ≥5.5 mmol/l |
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White blood cells (WBC) ≥3.5×109/l |
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Platelets ≥100×109/l |
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Serum bilirubin, aspartate amino transferase (AST), alanine amino transferase (ALT) and alkaline phosphatase (AKP), <1.5× the normal upper limit; serum creatinine ≤150 µmol/l |