xray findings
subluxation
peri-articular osteopenia
soft tissue swelling
juxta-articualr erosions
DAS score: remission
<2.6
DAS score: mild disease
2.6 - 3.2
DAS score: moderate disease
3.2-5.1
DAS score: severe disease
> 5.1
DAS score: DMARDs indicated
> 5.1
Mx newly diagnosed RA
DMARD monotherapy using methotrexate, leflunomide or sulfasalasine ASAP
response to treatment - no response
change in DAS < 0.7
response to treatment - moderate response
change is DAS 0.7 - 1.2
response to treatment - good response
change in DAD > 1.2
Mx of renal complications of systemic sclerosis
ACEI