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General Rheumatology

News, opinions and meeting coverage in rheumatology.

Patient Registries See Promise and Challenges Ahead

Physician-driven registries adapt to a changing health system

ACR Joins Outcry Against ABIM's MOC Program

Calls it an "overreach" and questions ABIM's financial stewardship

Clear Health Costs: Having Insurance Doesn't Always Pay

The case of the $1,700 mammogram

13 Apple Watch Medical Apps Made for Physicians

Even though there are over 3,500 apps that have been customized for the Apple Watch, there are few that health providers can actually utilize for themselves

Squeeze Test in Finger/Toe Joints Won't Diagnose Arthritis

Sensitivity was low for metacarpophalangeal and metatarsophalangeal joints.

Rituxan in Lupus: Responses Vary

Almost 60% improved at 3 months, yet 20% worsened at 6 months.

Stopping Enbrel Risky in Established RA

Fewer patients with longstanding disease flared if they remained on even a half dose of etanercept, and time to flare was greater.

Allopurinol Doesn't Worsen Acute Gout Attacks

Worries that it might prove unfounded in randomized trial.

Ultrasound After Steroid Shots Helps Slightly in Managing Knee OA

Changes visualized after intra-articular injections are small and of borderline utility.

Stop DMARDs Before Orthopedic Surgery in RA Patients?

Deft medication management is important.

Are RA Patients More Sensitive to Pain?

For many RA is complicated by fibromyalgia.

'Generic' Colchicine to Hit Market

May provide some price relief for gout patients.

EKG Abnormalities Common in SLE

About one in three SLE patients affected.

Meniscus Lesions Tied to Neuropathic Pain in Knee OA

Meniscal extrusion on MRI significantly associated with increasing pain scores in knee osteoarthritis.

Early and Late Mortality Spikes in Giant Cell Arteritis

Danish study reveals 10-year survival patterns.

Separating Spondyloarthritis From Back Pain Still Problematic

Spinal MRI criteria don't help differentiate SpA from nonspecific pain.

JIA Parents Lose Significant Work Time

More missed work in the year before and after a child's diagnosis of juvenile rheumatoid arthritis.

Antibodies Predict Scleroderma Renal Crisis

Antibody test aids assessing risk for this potentially lethal complication.

Disease Activity Predicts Death in Sjogren's

High disease activity at baseline and immune markers can be used as prognostic markers in Sjogren's syndrome.

Gout May Protect Against Alzheimer's Disease

Study showed AD incidence higher over 5 years for patients without gout.

Osteonecrosis of the Jaw Is Rare With Denosumab for Bone Loss

Study finds risk very low, even with long-term drug therapy.

Cyclophosphamide May Ease Idiopathic Inflammatory Myopathies

Majority of patients treated with CYC experienced improved muscle strength and function.

Lung Transplant Valid in SSc

Patients with systemic sclerosis shouldn't be denied lung transplants.

Gout Patients Wind up in the Hospital Unnecessarily

Single-center study estimates frequency of preventable admissions.

Preterm Birth Common for RA Mothers

Risk for preterm birth was 1.5 times higher with maternal RA.

Novel Marker May Spot RA Early

This marker may differentiate between RA and OA.

That's Not Chronic Lyme, It's Cancer

Three case reports demonstrate the risks of "assuming that patients have chronic Lyme disease."

Joints Tell the Future in Scleroderma

Synovitis predicted progression in skin, vasculature, and kidney.

Make the Diagnosis: Why Did This Toddler Stop Walking?

Case Study: A fourteen-month-old boy had abruptly stopped bearing weight on his left lower extremity. Parents reported no history of trauma to the limb, but the boy鈥檚 medical history included undescended testes. On presentation, the patient had a fever of 100.4掳F, which rose to 101.5掳F He held his left leg externally rotated and flexed at the hip and refused to extend or bear weight on the limb or crawl. The left hip was tender, but without any palpable masses. He showed minimal signs of discomfort with passive rotation and axial loading. The passive range of motion of the hip showed limitations in extension and adduction.

Smoking Worsens Psoriatic Arthritis

Patients with psoriatic arthritis who smoke have worse patient-reported disease features at baseline and don't respond as well as nonsmokers to anti-tumor necrosis factor (TNF) treatment, a Danish study found.

High Urate? Get Moving, Study Finds

Regular exercise significantly lessened the excess mortality risk associated with elevated serum uric acid, a large Taiwanese study found.

Heart Risk Higher in Sjogren's Patients

PARIS -- Patients with Sjogren's syndrome had more than double the heart attack risk seen in the general population, a researcher reported here.

AMA Clamps Down on MOC, But Punts on Gun Regs

CHICAGO -- The AMA鈥檚 House of Delegates drew the line on this year's hot button topic -- maintenance of certification (MOC), saying it should not be mandatory, nor should it be a condition of licensure.

How To Tell Fake Neck Pain From Real: The Pain Medicine News Report

A regular update on what鈥檚 new in surgery from our friends at Pain Medicine News.

Vaccines and Biologics: Questions Remain

Vaccinations for patients with autoimmune diseases -- specifically patients being treated with biologics -- bring with them a variety of issues, including disease-specific, medication-related, and vaccine-associated factors, researchers suggested.

Bone Drug No Help in Severe Gout

Bisphosphonate treatment failed to prevent the development of bone erosions in patients with longstanding tophaceous gout, a 2-year randomized study found.

Shingle Risk High in Lupus, RA, COPD

Patients with autoimmune diseases and certain other chronic conditions are at increased risk for herpes zoster, a U.K. case-control study found.

MRI Helps ID Heart Risk in Scleroderma

LIVERPOOL -- Cardiac MRI could help provide diagnostic information about potential arrhythmogenic events among patients with scleroderma being considered for implantable cardioverter defibrillators, a researcher said here.

Shingles Vaccine OK in Mild Lupus

NEW YORK -- Vaccination against shingles may be safe for patients with mild, stable systemic lupus erythematosus, a researcher said here.

A Cure for Chlamydia Arthritis?

Increased understanding of the biology and survival tactics of Chlamydia trachomatis is suggesting that the post-infectious chronic arthritis experienced by many patients may actually be curable.

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