Suspected rheumatoid arthritis

GGC - Primary Care
NHS GGC

Suspected rheumatoid arthritis

Refer if persistent symptoms for >6 weeks, even with normal CRP and negative CCP or Rheumatoid Factor

  • New synovitis (boggy swelling) of more than one joint especially small joints of hands/feet
  • Morning stiffness >45 minutes
  • Symmetrical symptoms
  • Not better explained by another diagnosis
  • See below the GGC Referral Pathway

Suspected Early Rheumatoid Arthritis

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Editorial Information

Last reviewed: 18/05/2026

Next review date: 21/09/2028

Author(s): Consultant Physician and Rheumatologist.

Version: 1.1

Approved By: Referral Management Group