38yo F with seroneg RA on 3x therapy with synovitis. What tx do you choose? -Bathon: Confirm dx, use biologic, avoid ritux -Bykerk: Ask about JIA, use TNF, JAK, IL-6 -Emery: Not ritux. Use steroids, consider TNFi, urgent tx is not needed -Mikuls: Agree with above #ACR19 @RheumNow