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Methotrexate effect on anti-cyclic citrullinated peptide antibody levels in rheumatoid arthritis
  1. A Spadaro,
  2. V Riccieri
  1. Dip. Clinica e Terapia Medica Applicata-Div, Reumatologia—Università “La Sapienza” Rome, Italy
  1. Correspondence to:
    Professor A Spadaro
    a.spadaro.reumavirgilio.it

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We read with interest the recent reports1–,3 focusing on the changes of rheumatoid factor and anti-citrullinated peptide antibodies (anti-CCP) during infliximab treatment in refractory rheumatoid arthritis (RA), unresponsive to conventional disease modifying antirheumatic drugs.

Alessandri et al3 reported that 24 weeks’ infliximab treatment reduced anti-CCP levels according to the study of Bobbio-Pallavicini et al.2 These results are in contrast with the findings of De Rycke et al, which showed no change of this autoantibody serum level after …

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