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José Eduardo Ramos Miranda 
BIOL 3095 
University of Puerto Rico at Cayey
 Rheumatoid Arthirits (RA) is a complex disease 
that affects approximately 0.5% of the adult 
population worldwide, and occurs in 20-50 cases 
per 100,000 annually, mainly in women after their 
40s (Carmona et al. 2010). 
www.webmd.com
 Affects different articulations in the body. 
 It is an auto-immune disease. 
 There is no clear cause for this disease. 
noeydali.blogspot.es
 Genetic and Environmental triggers are implicated 
in the pathogenesis of this disease. 
 RA consists of at least 2 different subsets 
characterized by the presence or absence of 
antibodies to citrullinated protein antigen (ACPA) 
(Svendsen et al. 2013).
Provided by (Carmona et al. 2010)
 Genes with the major histo-compatability complex 
appear to have the strongest influence on disease 
susceptibility. 
www.rcsb.org
 General lifestyle factors like: smoking, because it 
shows a clear interaction with genetic 
susceptibility genes. 
 Pregnant women whose pregnancies were 
complicated by hyperemesis, gestational 
hypertension or preeclampsia. Have an increased 
risk of RA. 
www.babiesandtoddlers.com
 The main goals are: 
 take away pain 
 reduce swelling 
 slow down or stop joint damage 
 make people feel better and stay active.
 Methrotrexate (MTX) is considered the anchor 
drug for the treatment of RA; it is administered in 
up to 70% of patients with this disease (Cipriani et 
al. 2014). 
mc.usp.org
By (Gaujoux et al. 2014).
 Regular exercise 
 Rest and Relaxation 
 Tai Chi (slow, gentle movements and deep 
breathing) 
 The use of heat and cold 
http://www.healthline.com/
 The severity of RA has declined over the past few 
decades. 
 By knowing possible risk factors, we can make 
more effective treatments to slower down this 
process. 
 Research is being done now on: immune systems, 
genes and drug combinations.
 Cipriani P, Ruscitti P, Carrubi F , Liakouli V, Giacomelli R. 2014. 
Methotrexate in Rheumatoid Arthritis: Optimizing Therapy Among 
Different Formulations. Current and Emerging Paradigms. Clinical 
Therapeutics [Internet]; [cited 2014 Sep 25]. 36(3):427- 
435.doi:10.1016/j.clinthera.2014.01.014 
 Gaujoux-Vialaa C, Gossecb L, Cantagrelc A, Dougadosd M, Fautrelb 
B, Mariettee X, Nataff H, Sarauxg A, Tropei S, Combej B. 2014. 
Recommendations of the French Society for Rheumatology for 
managing rheumatoid arthritis. Joint Bone Spine [Internet]; [cited 
2014 Oct 3]. 81(4)287-297.doi: 10.1016/j.jbspin.2014.05.002 
 Svendsen A, Kyvik K, Houen G, Junker P, Christensen K, 
Christiansen L, Nielsen C, Skytthe A, Hjelmborg J. 2013. On the 
Origin of Rheumatoid Arthitis: The Impact of Environment and 
Genes-A Population Based Twin Study. PLoS One [Internet]; [cited 
2014 Oct 31]. 8(2). doi:10.1371/journal.pone.0057304
www.mint.com

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Rheumatoid arthritis: Risk Factors and Potential Treatments

  • 1. José Eduardo Ramos Miranda BIOL 3095 University of Puerto Rico at Cayey
  • 2.  Rheumatoid Arthirits (RA) is a complex disease that affects approximately 0.5% of the adult population worldwide, and occurs in 20-50 cases per 100,000 annually, mainly in women after their 40s (Carmona et al. 2010). www.webmd.com
  • 3.  Affects different articulations in the body.  It is an auto-immune disease.  There is no clear cause for this disease. noeydali.blogspot.es
  • 4.  Genetic and Environmental triggers are implicated in the pathogenesis of this disease.  RA consists of at least 2 different subsets characterized by the presence or absence of antibodies to citrullinated protein antigen (ACPA) (Svendsen et al. 2013).
  • 5. Provided by (Carmona et al. 2010)
  • 6.  Genes with the major histo-compatability complex appear to have the strongest influence on disease susceptibility. www.rcsb.org
  • 7.  General lifestyle factors like: smoking, because it shows a clear interaction with genetic susceptibility genes.  Pregnant women whose pregnancies were complicated by hyperemesis, gestational hypertension or preeclampsia. Have an increased risk of RA. www.babiesandtoddlers.com
  • 8.  The main goals are:  take away pain  reduce swelling  slow down or stop joint damage  make people feel better and stay active.
  • 9.  Methrotrexate (MTX) is considered the anchor drug for the treatment of RA; it is administered in up to 70% of patients with this disease (Cipriani et al. 2014). mc.usp.org
  • 10. By (Gaujoux et al. 2014).
  • 11.
  • 12.
  • 13.
  • 14.  Regular exercise  Rest and Relaxation  Tai Chi (slow, gentle movements and deep breathing)  The use of heat and cold http://www.healthline.com/
  • 15.  The severity of RA has declined over the past few decades.  By knowing possible risk factors, we can make more effective treatments to slower down this process.  Research is being done now on: immune systems, genes and drug combinations.
  • 16.  Cipriani P, Ruscitti P, Carrubi F , Liakouli V, Giacomelli R. 2014. Methotrexate in Rheumatoid Arthritis: Optimizing Therapy Among Different Formulations. Current and Emerging Paradigms. Clinical Therapeutics [Internet]; [cited 2014 Sep 25]. 36(3):427- 435.doi:10.1016/j.clinthera.2014.01.014  Gaujoux-Vialaa C, Gossecb L, Cantagrelc A, Dougadosd M, Fautrelb B, Mariettee X, Nataff H, Sarauxg A, Tropei S, Combej B. 2014. Recommendations of the French Society for Rheumatology for managing rheumatoid arthritis. Joint Bone Spine [Internet]; [cited 2014 Oct 3]. 81(4)287-297.doi: 10.1016/j.jbspin.2014.05.002  Svendsen A, Kyvik K, Houen G, Junker P, Christensen K, Christiansen L, Nielsen C, Skytthe A, Hjelmborg J. 2013. On the Origin of Rheumatoid Arthitis: The Impact of Environment and Genes-A Population Based Twin Study. PLoS One [Internet]; [cited 2014 Oct 31]. 8(2). doi:10.1371/journal.pone.0057304