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Forward to the past: ultrasound might be necessary in some patients with rheumatoid arthritis
  1. Ottar Gadeholt
  1. Correspondence to Dr Ottar Gadeholt, Department of Rheumatology, University Clinic Würzburg, Würzburg 97080, Germany; gadeholt_o{at}

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In the January issue of ARD, Caporali and Smolen1 argue against the use of ultrasound in the management of rheumatoid arthritis (RA), citing the negative findings of the TaSER2 and ARCTIC3 studies and a lack of standardisation. Even disregarding that the results were not unequivocal, showing a slight, but not statistically significant difference between the ultrasound and control groups after a longer time span, I strongly disagree with the overall conclusion.

There is no doubt that modern disease management has led to excellent outcomes for most patients with RA, with the mutilating disease courses of the prebiological era largely a thing of the past.4 However, there are still patients, …

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