Abstract
To the Editor: We thank Dr. Cavagna and colleagues for their comments on our report1. In their case series, 2 out of 12 patients with anti-Jo-1 antibodies had both anticyclic citrullinated peptide antibody (anti-CCP) and marginal erosions on the hands and feet revealed by radiographs. As they stated, there is increasing evidence that anti-CCP-positive patients with connective tissue diseases have a risk of developing erosive arthritis. At least we can say that antisynthetase antibodies have no role in causing erosion in antisynthetase syndrome (ASS). Although all the patients with arthritis in their series … Address correspondence to Dr. Nagashima; E-mail: naga4ma{at}jichi.ac.jp
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