Biological Significance of Anti–Cyclic Citrullinated Peptide Antibody in Rheumatoid Arthritis

  1. Daniel G. Arkfeld, MD
  1. From the University of Southern California Keck School of Medicine, Los Angeles, CA 90033.

    TO THE EDITOR:

    I read the article by Nishimura and colleagues (1) with great interest. The use of anti-CCP testing makes RA diagnosis more accurate, which allows earlier detection in an attempt to avoid joint damage. However, the study has 3 potential pitfalls. First, up to 20% of new patients with RA are seronegative …

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