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We read with great interest the extended report by Dubreuil et al on ‘Risk of myocardial infarction with use of selected non-steroidal anti-inflammatory drugs in patients with spondyloarthritis and osteoarthritis’.1 This study raises interesting point that the use of certain non-steroidal anti-inflammatory drugs (NSAIDs) such as diclofenac increases the risk of myocardial infarction (MI) in patients with spondyloarthritis by twofold to threefold.
The treatment goal for patients with ankylosing spondylitis should be to maximise quality of …
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