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Alert on long-term lumbago and skelalgia not responsive to anti-rheumatic pharmacotherapy

In our work we have often dealt with patients who were diagnosed with “rheumatic or rheumatoid arthritis” in rural basic medical units or certain hospitals. A minority of those patients did have rheumatoid arthritis, but most of them did not improve with anti-rheumatic pharmacotherapy for multiple years; instead, their conditions worsened increasingly. Some of them had a bent waist and hunched back such that they could not manage their own life, and some patients had even progressed to paral