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Impact of gender on outcomes in ankylosing spondylitis
  1. Ernst Feldtkeller1,
  2. Gudrun Lind-Albrecht2
  1. 1Deutsche Vereinigung Morbus Bechterew, Muenchen, Germany
  2. 2Rheumatologie-Immunologie-Osteologie (RHIO) Duesseldorf, Germany
  1. Correspondence to Dr Ernst Feldtkeller, Deutsche Vereinigung Morbus Bechterew, Michaeliburgstr. 15, Muenchen 81671, Germany; e.feldtkeller{at}t-online.de

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We read with interest the article on the impact of gender on outcomes in ankylosing spondylitis (AS).1 In their analysis of four controlled clinical trials, the authors found a higher burden of AS in female patients and less improvement in outcome measures compared with men, ‘despite women having a later disease onset and shorter disease duration’. They conclude that the mechanism behind this observation is …

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