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[An important aspect of the 2010 American College of Rheumatology/European League Against Rheumatism classification criteria for the diagnosis of rheumatoid arthritis].

Remission has become a realistic goal in the management of rheumatoid arthritis(RA). The 2010 American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) classification criteria focus on early-stage RA, and were specifically designed to address the deficiencies in the 1987 criteria, primarily a lack of sensitivity. However, these criteria are not intended for diagnosis in routine clinical care. RA should be suspected in the patient who presents with inflammatory polyarthritis. Initial evaluation of such patients requires a careful history and physical examination, along with select laboratory testing to identify features that are characteristic of RA or that suggest an alternative diagnosis. Radiographs should also be performed. Further research will eventually lead to more reliable diagnostic and classification criteria for new-onset RA.

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