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ObjectiveTumor necrosis factor (TNF) drives bone destruction, but it also inhibits new bone formation by inducing Dkk‐1, an inhibitor of the Wnt pathway. Accordingly, blocking of Dkk‐1 reverses the phenotype in experimental arthritis from a pattern of bone destruction to a pattern of bone formation. To delineate the potential role of Dkk‐1 in the structural phenotype of human arthritis, we analyzed...