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Citrullination is not specific for RA, however other rheumatologic diseases with synovitis, including inflammatory osteoarthritis, reactive arthritis, undifferentiated arthritis, gout and even trauma, show the presence of citrullinated proteins [76]

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10.1136/jim-2021-002098 [DOI] [PMC free article] [PubMed] [Google Scholar] Quinlan G

As a result, hepatitis B testing is recommended for all adults