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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 …
Competing interests None.
Provenance and peer review Not commissioned; internally peer reviewed.
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