ACR 2022 Tweet by Eric Dein
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Difficult to Treat Rheumatoid Arthritis
Jack Cush, MD
Jan 29, 2026
Dr. Cush addresses the management of difficult-to-treat rheumatoid arthritis (D2TRA).
The proposed approach to difficult-to-treat rheumatoid arthritis is based on the EULAR definition (having failed 2 or more b/tsDMARDs). The authors provide guidance in the form of an easy acronym, A B C D E, which covers both diagnostic and therapeutic considerations.
Difficult to Treat RA
Jan 29, 2026


