rheumatoid arthritis
The traditional "pyramid" or sequential approach to treatment of patients with       rheumatoid arthritis involved use of a nonsteroidal anti-inflammatory drug for       months to years while seeking to avoid use of second-line antirheumatic drugs       until evidence of joint damage was seen.
The traditional "pyramid" or sequential approach to treatment of  @OBJECT$   @PREDICAT$         @SUBJECT$  involved use of a nonsteroidal anti-inflammatory drug for       months to years while seeking to avoid use of second-line antirheumatic drugs       until evidence of joint damage was seen.