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Anti-citrullinated protein antibodies, smoking and other autoimmune diseases Anti-CCPs are highly specific for RA, but they are found in 5 to 13% of patients with psoriatic arthritis [78] and also a minority of patients with primary Sjgren syndrome have an elevated anti-CCP titer, which is linked to the presence of synovitis [79]

There hasnt been as much real world data

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Available at: (accessed March 2019) [13] Cancer Research UK