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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">vsp</journal-id><journal-title-group><journal-title xml:lang="ru">Вопросы современной педиатрии</journal-title><trans-title-group xml:lang="en"><trans-title>Current Pediatrics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-5527</issn><issn pub-type="epub">1682-5535</issn><publisher><publisher-name>Издательство «ПедиатрЪ»</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">vsp-1424</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL ARTICLES</subject></subj-group></article-categories><title-group><article-title>ВЛИЯНИЕ ИНФЛИКСИМАБА НА ДИНАМИКУ ФУНКЦИОНАЛЬНОГО КЛАССА И РЕНТГЕНОЛОГИЧЕСКИЕ ИЗМЕНЕНИЯ ХРЯЩЕВОЙ И КОСТНОЙ ТКАНИ СУСТАВОВ У БОЛЬНЫХ С РАЗЛИЧНЫМИ ВАРИАНТАМИ ЮВЕНИЛЬНОГО АРТРИТА</article-title><trans-title-group xml:lang="en"><trans-title>EFFECT OF INFLIXIMAB ON DYNAMICS OF FUNCTIONAL CLASS AND RADIOLOGICAL SIGN OF BONE AND CARTILAGINOUS TISSUES ALTERATION OF JOINTS IN PATIENTS WITH DIFFERENT TYPES OF JUVENILE ARTHRITIS</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Алексеева</surname><given-names>Е.И.</given-names></name><name name-style="western" xml:lang="en"><surname>Alexeeva</surname><given-names>E.I.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Алексеева</surname><given-names>А.М.</given-names></name><name name-style="western" xml:lang="en"><surname>Alekseeva</surname><given-names>A.M.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Валиева</surname><given-names>С.И.</given-names></name><name name-style="western" xml:lang="en"><surname>Valieva</surname><given-names>S.I.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бзарова</surname><given-names>Т.М.</given-names></name><name name-style="western" xml:lang="en"><surname>Bzarova</surname><given-names>T.M.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Денисова</surname><given-names>Р.В.</given-names></name><name name-style="western" xml:lang="en"><surname>Denisova</surname><given-names>R.V.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Михалева</surname><given-names>Г.В.</given-names></name><name name-style="western" xml:lang="en"><surname>Mikhaleva</surname><given-names>G.V.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Научный центр здоровья детей РАМН, Москва</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Scientific Center of Children's Health, Russian Academy of Medical Sciences, Moscow</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Московская медицинская академия им. И.М. Сеченова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I.M. Sechenov Moscow Medical Academy</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2008</year></pub-date><pub-date pub-type="epub"><day>05</day><month>11</month><year>2015</year></pub-date><volume>7</volume><issue>4</issue><issue-title>Вопросы современной педиатрии</issue-title><fpage>30</fpage><lpage>44</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Алексеева Е., Алексеева А., Валиева С., Бзарова Т., Денисова Р., Михалева Г., 2008</copyright-statement><copyright-year>2008</copyright-year><copyright-holder xml:lang="ru">Алексеева Е., Алексеева А., Валиева С., Бзарова Т., Денисова Р., Михалева Г.</copyright-holder><copyright-holder xml:lang="en">Alexeeva E., Alekseeva A., Valieva S., Bzarova T., Denisova R., Mikhaleva G.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://vsp.spr-journal.ru/jour/article/view/1424">https://vsp.spr-journal.ru/jour/article/view/1424</self-uri><abstract/><trans-abstract xml:lang="en"/></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Cush J. J. Rheumatoid arthritis. Clin. Symp. 1999; 51: 40.</mixed-citation><mixed-citation xml:lang="en">Cush J. J. Rheumatoid arthritis. Clin. Symp. 1999; 51: 40.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Ройт А., Бростофф Дж., Мейл Д. Иммунология. 2000.</mixed-citation><mixed-citation xml:lang="en">Ройт А., Бростофф Дж., Мейл Д. Иммунология. 2000.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Brenann F.M., Feldman M. Cytokines in autoimmunity. Curr. Opin. Immunol. 1992; 4: 754–759.</mixed-citation><mixed-citation xml:lang="en">Brenann F.M., Feldman M. Cytokines in autoimmunity. Curr. Opin. Immunol. 1992; 4: 754–759.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Sewell E., Trentham D. Pathogenesis of rheumatoid arthritis. Lancet. 1993; 341: 283-286.</mixed-citation><mixed-citation xml:lang="en">Sewell E., Trentham D. Pathogenesis of rheumatoid arthritis. Lancet. 1993; 341: 283-286.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Arend W.P., Dayer J.M. Inhibition of the production and effects of interleukin–1 and tumor necrosis factor α in rheumatoid arthritis. Arthritis Rheum. 1995; 38: 151–160.</mixed-citation><mixed-citation xml:lang="en">Arend W.P., Dayer J.M. Inhibition of the production and effects of interleukin–1 and tumor necrosis factor α in rheumatoid arthritis. Arthritis Rheum. 1995; 38: 151–160.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Moore T.L. Immunopathogenes of juvenile rheumatoid arthritis. Curr. Opin. Rheumatol. 1999; 11: 377–383.</mixed-citation><mixed-citation xml:lang="en">Moore T.L. Immunopathogenes of juvenile rheumatoid arthritis. Curr. Opin. Rheumatol. 1999; 11: 377–383.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Brahn E., Peacock D., Banquero M., Lui D. Effects of tumor necrosis alpha (TNF-α) on collagen arthritis. Lymphokine Cytotine Res. 1992; 11: 253–256.</mixed-citation><mixed-citation xml:lang="en">Brahn E., Peacock D., Banquero M., Lui D. Effects of tumor necrosis alpha (TNF-α) on collagen arthritis. Lymphokine Cytotine Res. 1992; 11: 253–256.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Brennan F.M, Browne K.A., Green P.A., et al. Reduction of serum matrix metalloproteinase 1 and matrix metalloproteinase 3 in rheumatoid arthritis patients following anti-tumor necrosis factor (cA2) therapy. Br. J. Rheumatol. 1997; 36: 643–650.</mixed-citation><mixed-citation xml:lang="en">Brennan F.M, Browne K.A., Green P.A., et al. Reduction of serum matrix metalloproteinase 1 and matrix metalloproteinase 3 in rheumatoid arthritis patients following anti-tumor necrosis factor (cA2) therapy. Br. J. Rheumatol. 1997; 36: 643–650.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Danks L., Sabokbar A., Gundle R., Athanasou N.A. Synovial macrophage-osteoclast differentiation in inflammatory arthritis. Ann. Rheum. Dis. 2002; 61: 916–921.</mixed-citation><mixed-citation xml:lang="en">Danks L., Sabokbar A., Gundle R., Athanasou N.A. Synovial macrophage-osteoclast differentiation in inflammatory arthritis. Ann. Rheum. Dis. 2002; 61: 916–921.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Насонов Е.Л., Самсонов М.Ю., Тилз Г.П. и др., 1999; Насонов Е.Л., Самсонов М.Ю., Тилз Г.П. и др. Растворимые молекулы адгезии (Р–селектин, ICAM-3) при ревматоидном артрите. Терапевтический архив. 1999; 5: 17–20.</mixed-citation><mixed-citation xml:lang="en">Насонов Е.Л., Самсонов М.Ю., Тилз Г.П. и др., 1999; Насонов Е.Л., Самсонов М.Ю., Тилз Г.П. и др. Растворимые молекулы адгезии (Р–селектин, ICAM-3) при ревматоидном артрите. Терапевтический архив. 1999; 5: 17–20.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Moser R.B., Schleiffenbaum B., Groscurth P., Fehr J. Interleikin 1 and tumor necrosis factor stimulate human vascular endothelial cells to promote transendothelial neutrophil passage. J. Clinic. Invest. 1989; 83: 444–455.</mixed-citation><mixed-citation xml:lang="en">Moser R.B., Schleiffenbaum B., Groscurth P., Fehr J. Interleikin 1 and tumor necrosis factor stimulate human vascular endothelial cells to promote transendothelial neutrophil passage. J. Clinic. Invest. 1989; 83: 444–455.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Mannel D.N., Echtenacher B. TNF in the inflammatory response. Chem. Immunol. 2000; 74: 141–161.</mixed-citation><mixed-citation xml:lang="en">Mannel D.N., Echtenacher B. TNF in the inflammatory response. Chem. Immunol. 2000; 74: 141–161.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Tak P.P., Taylor P.C., Breedveld F.C. et al. Decrease in cellularity and expression of adhesion molecules by anti-tumor necrosis factor α monoclonal antibody treatment in patients with rheumatoid arthritis. Arthritis Rheum. 1996; 39: 1077–1081.</mixed-citation><mixed-citation xml:lang="en">Tak P.P., Taylor P.C., Breedveld F.C. et al. Decrease in cellularity and expression of adhesion molecules by anti-tumor necrosis factor α monoclonal antibody treatment in patients with rheumatoid arthritis. Arthritis Rheum. 1996; 39: 1077–1081.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Den Broeder A.A., Joosten L.A., Saxnee T. et al. Long term anti-tumor necrosis factor alpha monotherapy in rheumatoid in rheumatoid arthritis: effects on radiological course and prognostic value of markers of cartilage turnover and endothelial activation. Ann. Rheum. Dis. 2002; 61: 311–318.</mixed-citation><mixed-citation xml:lang="en">Den Broeder A.A., Joosten L.A., Saxnee T. et al. Long term anti-tumor necrosis factor alpha monotherapy in rheumatoid in rheumatoid arthritis: effects on radiological course and prognostic value of markers of cartilage turnover and endothelial activation. Ann. Rheum. Dis. 2002; 61: 311–318.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Shingu M., Nagai Y., Isayama T. et al. The effects of cytokines on metalloproteinase inhibitors (TIMP) and collagenase production by human chondrocytes and TIMP production by synovial cells and endothelial cells. Clin. Exp. Immunol. 1993; 94: 145–149.</mixed-citation><mixed-citation xml:lang="en">Shingu M., Nagai Y., Isayama T. et al. The effects of cytokines on metalloproteinase inhibitors (TIMP) and collagenase production by human chondrocytes and TIMP production by synovial cells and endothelial cells. Clin. Exp. Immunol. 1993; 94: 145–149.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Black R.A., Rauch C.T., Kozlosky C.J. et al. A metalloproteinase disintegrin that releases tumor-necrosis factor-α from cells. Nature. 1997; 385: 729–733.</mixed-citation><mixed-citation xml:lang="en">Black R.A., Rauch C.T., Kozlosky C.J. et al. A metalloproteinase disintegrin that releases tumor-necrosis factor-α from cells. Nature. 1997; 385: 729–733.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Barksby H.E., Milner J.M., Patterson A.M. et al. Matrix metalloproteinase 10 promotion of collagenolysis via procollagenase activation: implications for cartilage degration in arthritis. Arthritis Rheum. 2006; 54: 3244–3253.</mixed-citation><mixed-citation xml:lang="en">Barksby H.E., Milner J.M., Patterson A.M. et al. Matrix metalloproteinase 10 promotion of collagenolysis via procollagenase activation: implications for cartilage degration in arthritis. Arthritis Rheum. 2006; 54: 3244–3253.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Georgopoulos S., Plows D., Kollias G. Transmembrane TNF is sufficient to induce localized tissue toxicity and chronic inflammatory arthritis in transgenic mice. J. Inflamm. 1996; 46: 86–97.</mixed-citation><mixed-citation xml:lang="en">Georgopoulos S., Plows D., Kollias G. Transmembrane TNF is sufficient to induce localized tissue toxicity and chronic inflammatory arthritis in transgenic mice. J. Inflamm. 1996; 46: 86–97.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Williams R.O., Malfait A.M., Butler D.M. et al. Combination therapy with DMARDs and biological agents in collagen-induced arthritis. Clin. Exp. Rheumatol. 1999; 17: 115–120.</mixed-citation><mixed-citation xml:lang="en">Williams R.O., Malfait A.M., Butler D.M. et al. Combination therapy with DMARDs and biological agents in collagen-induced arthritis. Clin. Exp. Rheumatol. 1999; 17: 115–120.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Williams R.O. Collagen-induced arthritis in mice: a major role for tumor necrosis factor-alpha. Methods Mol. Biol. 2006; 361: 265–284.</mixed-citation><mixed-citation xml:lang="en">Williams R.O. Collagen-induced arthritis in mice: a major role for tumor necrosis factor-alpha. Methods Mol. Biol. 2006; 361: 265–284.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Maini R., St. Clair E.W., Breedveld F. et al. Infliximab (chimeric anti-tumour necrosis factor alpha monoclonal antibody) versus placebo in rheumatoid arthritis patients receiving concomitant methotrexate: a randomized phase III trial. ATTRACT Study Group. Lancet. 1999; 4: 1932–1939.</mixed-citation><mixed-citation xml:lang="en">Maini R., St. Clair E.W., Breedveld F. et al. Infliximab (chimeric anti-tumour necrosis factor alpha monoclonal antibody) versus placebo in rheumatoid arthritis patients receiving concomitant methotrexate: a randomized phase III trial. ATTRACT Study Group. Lancet. 1999; 4: 1932–1939.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Lipsky P.E., van der Heijde D.M.F.M, St Clair E.W. et al. Infliximab and methotrexate in the treatment of rheumatoid arthritis. N. Engl. J. Med. 2000; 343: 1594–1602.</mixed-citation><mixed-citation xml:lang="en">Lipsky P.E., van der Heijde D.M.F.M, St Clair E.W. et al. Infliximab and methotrexate in the treatment of rheumatoid arthritis. N. Engl. J. Med. 2000; 343: 1594–1602.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Bredveld F.C., Emery P., Keystone E. et al. Infliximab in active early rheumatoid arthritis. Ann. Rheum. Dis. 2004; 63: 149–155.</mixed-citation><mixed-citation xml:lang="en">Bredveld F.C., Emery P., Keystone E. et al. Infliximab in active early rheumatoid arthritis. Ann. Rheum. Dis. 2004; 63: 149–155.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Vis M., Wolbink J., Soesbergen R. et al. Early changes in bone metabolism in patients with rheumatoid arthritis treated with infliximab. Ann. Rheum. Dis. 2002; 61: 51.</mixed-citation><mixed-citation xml:lang="en">Vis M., Wolbink J., Soesbergen R. et al. Early changes in bone metabolism in patients with rheumatoid arthritis treated with infliximab. Ann. Rheum. Dis. 2002; 61: 51.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Алексеева Е.И., Алексеева А.М., Валиева С.И., Бзарова Т.М. Эффективность лечения инфликсимабом резистентных форм ювенильного ревматоидного артрита. Вопросы современной педиатрии. 2006; 5 (2): 20–30.</mixed-citation><mixed-citation xml:lang="en">Алексеева Е.И., Алексеева А.М., Валиева С.И., Бзарова Т.М. Эффективность лечения инфликсимабом резистентных форм ювенильного ревматоидного артрита. Вопросы современной педиатрии. 2006; 5 (2): 20–30.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Алексеева Е.И., Алексеева А.М., Валиева С.И., Бзарова Т.М., Денисова Р.В. Влияние инфликсимаба на клинические и лабораторные показатели активности различных вариантах юношеского артрита. Вопросы современной педиатрии. 2008; 7 (2): 42–53.</mixed-citation><mixed-citation xml:lang="en">Алексеева Е.И., Алексеева А.М., Валиева С.И., Бзарова Т.М., Денисова Р.В. Влияние инфликсимаба на клинические и лабораторные показатели активности различных вариантах юношеского артрита. Вопросы современной педиатрии. 2008; 7 (2): 42–53.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Долгополова А., Бисярина В., Алексеев А. Вопросы ревматологии. 1979; 4: 3–7.</mixed-citation><mixed-citation xml:lang="en">Долгополова А., Бисярина В., Алексеев А. Вопросы ревматологии. 1979; 4: 3–7.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Arnet F.C., Edworthy S.M., Bloch D.A., et al. The American Rheumatism Association 1987 revised criteria for classification of rheumatoid arthritis. Arthr. Rheum. 1988; 27: 315–324.</mixed-citation><mixed-citation xml:lang="en">Arnet F.C., Edworthy S.M., Bloch D.A., et al. The American Rheumatism Association 1987 revised criteria for classification of rheumatoid arthritis. Arthr. Rheum. 1988; 27: 315–324.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Steinbroker Q., Traeger C.H., Batterman R.C. Therapeutic criteria in rheumatoid arthritis. J. Am. Med. Assoc. 1949; 140: 659–662.</mixed-citation><mixed-citation xml:lang="en">Steinbroker Q., Traeger C.H., Batterman R.C. Therapeutic criteria in rheumatoid arthritis. J. Am. Med. Assoc. 1949; 140: 659–662.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Sharp J.T., Young D.Y., Bluhm G.B. et al. How many joints in the hands and wrists should be included in a score of the radiological abnormalities used to assess rheumatoid arthritis? Arthritis Rheum. 1985; 28: 1326–1335.</mixed-citation><mixed-citation xml:lang="en">Sharp J.T., Young D.Y., Bluhm G.B. et al. How many joints in the hands and wrists should be included in a score of the radiological abnormalities used to assess rheumatoid arthritis? Arthritis Rheum. 1985; 28: 1326–1335.</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">van der Heijde D.M.F.M., van´t Hof M.A., Reil P.L.C.M. et al. Judging disease activity in clinical practice in rheumatoid arthritis: first step in the development of disease activity score. Ann. Rheum. Dis. 1990; 49: 916-920.</mixed-citation><mixed-citation xml:lang="en">van der Heijde D.M.F.M., van´t Hof M.A., Reil P.L.C.M. et al. Judging disease activity in clinical practice in rheumatoid arthritis: first step in the development of disease activity score. Ann. Rheum. Dis. 1990; 49: 916-920.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
