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Rheumatoid Arthritis Carole Callaghan Principal Pharmacist NHS Lothian
Aim ,[object Object],[object Object],[object Object],[object Object],[object Object]
Objectives ,[object Object],[object Object],[object Object],[object Object]
Rheumatoid Arthritis ,[object Object]
Epidemiology ,[object Object],[object Object],[object Object],[object Object]
Pathogenesis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pathology ,[object Object],[object Object],[object Object]
Pathology
Pathology
Symptoms ,[object Object],[object Object],[object Object]
Signs ,[object Object],[object Object],[object Object],[object Object],[object Object]
Signs
Joint involvement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigation ,[object Object],[object Object],[object Object]
Management (1st stage) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Management (2nd stage) ,[object Object]
NSAIDs ,[object Object],[object Object],[object Object],[object Object]
NSAID toxicity ,[object Object],[object Object],[object Object],[object Object]
GI toxicity ,[object Object],[object Object],[object Object]
NSAID summary ,[object Object],[object Object],[object Object]
COX-2 Inhibitors ,[object Object],[object Object],[object Object],[object Object]
Management (3rd stage) ,[object Object]
Early DMARD ,[object Object],[object Object],[object Object]
DMARDs ,[object Object],[object Object],[object Object],[object Object]
DMARDs (cont) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Systemic corticosteroids ,[object Object],[object Object],[object Object]
Intra-articular corticosteroids ,[object Object],[object Object],[object Object],[object Object]
TNF   -  Mode of Action Activated Macrophage TNF Target Cell Signal sTNFR
Anti-TNF Biologics  - Mode of Action Activated Activated Macrophage Target Target Cell Cell Signal Signal sTNFR sTNFR TNF TNF TNFR TNFR
TNF   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Effects of Blocking TNF  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
B Cell Involvement in the Pathogenesis of RA
Biologic Pathways
Nomenclature ,[object Object],[object Object],[object Object],[object Object]
Immunogenecity
Eligibility Criteria for Biologic Therapy (BSR) ,[object Object],[object Object],[object Object],[object Object]
Infection ,[object Object],[object Object],[object Object],[object Object]
Tuberculosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Other Infections ,[object Object],[object Object],[object Object],[object Object]
Vaccination ,[object Object],[object Object],[object Object],[object Object]
Malignancy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Rituximab ,[object Object],[object Object],[object Object],[object Object]
Safety with Rituximab ,[object Object],[object Object],[object Object],[object Object],[object Object]
Abatacept
Abatacept (contd) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tocilizumab
Tocilizumab (contd) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Certolizumab ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object]

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Core course lecture - Rheumatoid Arthritis