RT Book, Section A1 Mardis, Caitlin A2 Sutton, S. Scott SR Print(0) ID 1179735549 T1 Rheumatoid Arthritis T2 McGraw Hill’s NAPLEX® Review Guide, 4e YR 2020 FD 2020 PB McGraw-Hill Education PP New York, NY SN 9781264258062 LK accesspharmacy.mhmedical.com/content.aspx?aid=1179735549 RD 2024/04/19 AB Rheumatoid arthritis (RA) is the presence of chronic inflammation and symmetrical erosive synovitis leading to joint deterioration and deformity. RA occurs more frequently in women than men, and while patients may present at any age, the disease process most often begins between the fourth and sixth decades. Both genetic and environmental factors may contribute to the initiation of the inflammatory process. RA is an autoimmune disease in which the immune system targets connective tissues: T-lymphocytes produce pro-inflammatory cytokines and cytotoxic substances, activated B-lymphocytes differentiate into plasma cells which produce antibodies, and macrophages release prostaglandins and cytotoxins, all of which ultimately cause continued inflammation, cellular damage, and erosion of bone, cartilage, and joint tissues.