TY - CHAP M1 - Book, Section TI - Chapter 47. Rheumatoid Arthritis A1 - Reta, Alison M. A1 - O'Callaghan, Rory E. A1 - Chen, Steven W. A2 - Sutton, S. Scott PY - 2011 T2 - McGraw-Hill's NAPLEX® Review Guide AB - Rheumatoid arthritis (RA) is a chronic systemic disorder that strikes approximately 1% of the world's population.1,2 The onset is usually at a young age (15-45 years), and occurs more frequently in women than in men.3 The exact etiology of RA is not well understood, and the factors that initiate the inflammatory process are unknown, but it is clearly an autoimmune disease involving T-lymphocytes, B-lymphocytes, macrophages, and cytokines.3 The body's immune cells are unable to differentiate between self and nonself, and begin to target the joint tissue. T-lymphocytes produce proinflammatory cytokines and produce cytotoxic substances that lead to the erosion of bone and cartilage. Activated B-lymphocytes produce plasma cells, which form antibodies that attack joint tissues. Macrophages begin to release prostaglandins and cytotoxins to cause further injury and inflammation.3 SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/19 UR - accesspharmacy.mhmedical.com/content.aspx?aid=7254336 ER -