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    • Biologic synthetic disease-modifying antirheumatic drugs1
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    Please publish your next paper open access in Journal of Hand Surgery Global Online (JHS GO).
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      Perioperative Management of Immunosuppressive Medications for Rheumatoid Arthritis

      Journal of Hand Surgery
      Vol. 47Issue 4p370–378Published online: February 17, 2022
      • Andrew M. Hresko
      • Christopher J. Got
      • Joseph A. Gil
      Cited in Scopus: 3
      Continuing Medical Education
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        Operations in patients with rheumatoid arthritis are complicated by the fact that most drugs used in medical management have immunosuppressive mechanisms of action, including corticosteroids and conventional synthetic and biologic disease-modifying antirheumatic drugs. In deciding to continue or discontinue these medications perioperatively, surgeons must weigh the relative risk of infection from immunosuppression against the risk of rheumatoid arthritis symptom flares from reduced medical disease control.
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