Table 1: Clinical data of the study patients
| No of total patients | No = 54 |
| Females / Males Realation | No = 42 /12 |
| Middle average Age (years ) ( M ± SD ) | 54.4 ± 9.6 |
| Middle duration of disease (years) ( M ± SD ) | 4.7 ± 5.3 |
| Disease Activity Score (DAS28 ) ( M ± SD) | 5.0 ± 1.6 |