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Typically, people who experience early signs of arthritis consult with their primary care physician or family physician. That may be appropriate for the first round of diagnostic testing. However, you may be referred to a rheumatologist for more in-depth evaluation and ongoing care. A rheumatologist is a specialist in the diagnosis and treatment of rheumatic diseases.
Epigenetic alterations are functionally relevant modifications to the genome that do not change the nucleotide sequence. Examples of such modifications are changes in DNA methylation (hypermethylation and hypomethylation), histone modification and changes in chromosomal architecture (caused by inappropriate expression of proteins such as HMGA2 or HMGA1). Each of these alterations regulates gene expression without altering the underlying DNA sequence. These changes may remain through cell divisions, last for multiple generations and can be considered to be epimutations (equivalent to mutations).
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