... activity in daily clinical practice in a similar way to ran-domized clinical trials. Disappointingly, we could not observethe amazing halt of radiological progression described in clin-ical ... however, and in the event they suffered a RA worsen-ing or a flare up they were probably switched to anotherDMARD, instead of using gold as an add-on therapy.Regarding cyclosporin A treatment, ... MTXplus sulfasalazine [20], gradually disappeared as they werereplaced by more aggressive combinations with better provenefficacy [18,19,21-25]. Finally, parallel to our findings, a moreeffective...