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Chikungunya infection acutely shows fever, polyarthralgia, polyarthritis, HA, rash & GI Sxs; up to 60% develop chronic polyarthritis that mimics #RA. A retrospective report of 48 pts Rx w/ MTX (mean 9.2/wk) shows signif better pain and swollen joints. https://t.co/XEbvjSQOlx
Dr. John Cush
Apr-16-2020
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