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EasyMusculoskeletal Medicine & RheumatologyRheumatoid ArthritisNICE Rheumatoid arthritis in adults guideline (NG100)

A 56-year-old woman complains of bilateral hand stiffness lasting 40 minutes each morning, affecting the proximal interphalangeal joints. Laboratory tests show positive rheumatoid factor. According to NICE guidelines, what is the recommended first-line DMARD (disease-modifying anti-rheumatic drug) for rheumatoid arthritis?

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