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Abstract Years .All patients fulfilled the ACR diagnostic criteria of RA . All patients wear subjected to the following • History taking with pain severity evaluation VAS • Clinical examination :general , Locomotor System examination with assessment of joint tenderness by applying RA . • DAS • MHAQ • Determination walking time • Routine laboratory investigations • Plain X-ray of hands and feet in posteranterior view ,then they wear scored according to SHS. • Plain X-ray Of large joints (elbows, shoulders, hips, Knees, ankles and subtalars ) in pesteroanterior view, then they were scored according to Larsen scoring system . The results showed the following: • A statistically highly significant correlation was observed between disability and age of the patients and disease activity parameters. |