Rheumatoid Arthritis: Early Treatment Saves Joints
The first six months are a therapeutic window.
Dr. Inès Da Costa
Rheumatologist
Symmetrical small-joint swelling (hands, feet), morning stiffness lasting more than an hour, fatigue. Untreated, it leads to joint destruction within years.
Early diagnosis
RF and anti-CCP antibodies, inflammatory markers, joint ultrasound or MRI. Refer to rheumatology within 6 weeks of suspected disease.
Treatment
- Methotrexate remains first-line
- Combine with short-course steroids during initiation
- Biologics (anti-TNF, anti-IL6, JAK inhibitors) for inadequate response
Comorbidities
RA roughly doubles cardiovascular risk. Smoking cessation and cardiovascular prevention are essential.
Treat-to-target with regular reassessment outperforms fixed-regimen care.
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