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A Silent Fire review: What you need to know about inflammation

With A Silent Fire, gastroenterologist Shilpa Ravella offers a fascinating primer on the crucial role of inflammation in our bodies and the emerging links to diet and disease

By Grace Wade

18 January 2023

Rheumatoid arthritis of the hands. Coloured bilateral X-ray of the hands and wrists of a patient with rheumatoid arthritis. The arthritis is particularly severe in the hand at right, with several joint deformities. Rheumatoid arthritis is a degenerative autoimmune disease that mainly affects the capsule (synovium) around the synovial (flexible) joints, causing chronic inflammation. It can be a debilitating and painful condition and can lead to deformities and loss of functioning and mobility.

Rheumatoid arthritis, as shown in this X-ray, is a chronic inflammatory condition

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A Silent Fire

Shilpa Ravella (Bodley Head)

INFLAMMATION is a crucial tool of the immune system. As the body’s first line of defence against injury or invaders, it traps bacteria and viruses, heals wounds and signals to other cells for help, resulting in symptoms such as pain and swelling. Once a threat is remedied, inflammation, along with its ensuing discomfort, disappears – or at least it should.

In her debut book A Silent Fire: The story of inflammation, diet and …

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