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EasyRheumatologyRheumatoid arthritis initial DMARD therapyau-racpau-amc

A 37-year-old woman presents with symmetrical small joint pain and morning stiffness lasting over an hour. Examination shows synovitis of the MCP and PIP joints bilaterally. Rheumatoid factor and anti-CCP antibodies are positive. What is the recommended first-line disease-modifying antirheumatic drug (DMARD)?

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