Rheumatoid arthritis is a clinical syndrome, and the diagnosis require
s the presence of pain, swelling, and tenderness in the joints. In the
absence of these features, identification of rheumatoid factor in the
serum is of little use. Because rheumatoid factor is an immune comple
x, it is a marker of immune activation and, therefore, may be present
in the circulation of persons with a variety of inflammatory condition
s that stimulate the immune system. Also, 5% of the healthy population
have significant titers of rheumatoid factor in their serum.