The International League of Associations for Rheumatology (ILAR) and t
he World Health Organization (WHO) have ratified a new classification
of antirheumatic therapy comprising two major categories, as follows:
(1) Symptom modifying antirheumatic drugs (SMARD) improve the symptoms
and clinical features of inflammatory synovitis; (2) Disease controll
ing antirheumatic therapy (DC-ART) changes the course of rheumatoid ar
thritis. The DC-ART category, a new group and a new concept, poses a n
umber of problems and challenges but also generates a basis for settin
g management objectives for rheumatoid arthritis. It is uncertain whet
her any of the current SMARD would fulfill the stringent DC-ART criter
ia.