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Medicine General e90650a7

Which of the following best represents the impoance of Rheumatoid factor in rheumatoid ahritis?

A
Rheumatoid factor is associated with bad prognosis
B
Rheumatoid factor correlates with disease activity
C
Rheumatoid factor is very common in childhood Rheumatoid ahritis
D
Absent rheumatoid factor rules out the diagnosis of Rheumatoid ahritis
High-Yield Explanation
Rheumatoid factor (RF) consists of heterogeneous autoantibodies of the IgM class that react against the Fc region of human IgG. It is found in 70% of rheumatoid ahritis patients and is associated with a worse prognosis, since higher levels of rheumatoid factor are associated with more aggressive disease, rheumatoid nodules and extra aicular manifestations. Ref: Elective Hand Surgery: Rheumatological and Degenerative Conditions, Nerve Compression Syndromes By Michel Merle, Page 97 ; Measuring Immunity: Basic biology and Clinical Assessment By Michael T. Lotz, Page 189

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