... initiallypresent in the small joints of the feet, and appear in the smalljoints of the hands at a later point in the disease course [6].Also, rheumatoid nodules are very rare in the early phases of RA, ... evaluated.Review Advances in the genetics of rheumatoid arthritis point to subclassification into distinct disease subsetsAnnette HM van der Helm-van Mil and Tom WJ HuizingaDepartment of Rheumatology, Leiden ... from genetics to clinicalpractice. In contrast to the recent advances in the field of susceptibility to RA, genetic variants affecting the severity of the disease course in RA are scarcely explored....