PT - JOURNAL ARTICLE AU - Kevin D. Deane AU - M. Kristen Demoruelle TI - Drs. Deane and Demoruelle reply AID - 10.3899/jrheum.191060 DP - 2019 Dec 01 TA - The Journal of Rheumatology PG - jrheum.191060 4099 - http://www.jrheum.org/content/early/2019/11/25/jrheum.191060.short 4100 - http://www.jrheum.org/content/early/2019/11/25/jrheum.191060.full AB - In the letter by Alpizar-Rodriguez and Finckh1, they describe their prior work in which they found, similar to our current report, an association between older age and anticitrullinated protein antibody (ACPA) positivity in first-degree relatives (FDR) of patients with rheumatoid arthritis (RA)2,3. In contrast to our findings, their data suggest that the strongest association between ACPA positivity and age is in women aged 45–55 years, and they did not find an association between ACPA positivity and age in men.