![Leap – Winter 2019: Seen for the First Time](https://www.hopkinsrheumatology.org/wp-content/uploads/2019/10/Leap-Winter-2019-Featured-Image.jpg)
Alice in Wonderland may come to mind as you read this issue of LEAP, because we are moving from the large to the small, and back again: A rheumatic disease is big, and its effect can be devastating. However, a disease such as rheumatoid arthritis, scleroderma, or Sjögren’s is, in fact, multiple diseases, each slightly different.