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A 50 year-old physician experienced the abrupt onset of tenderness and swelling in the distal interphalangeal (DIP) joint of his right index finger. His only significant past medical history was Wolf-Parkinson-White syndrome, which was managed successfully with ablation. The same symptoms subsequently occurred in the DIP joints of his left index finger and fifth digits of both hands. No other digits were affected. The symptoms made it difficult for him to type on the computer. He denied trauma to the affected fingers, although he is an athlete and had had a left middle finger avulsion fracture, right middle finger dislocation, and left radial frac-ture. He had no systemic or other joint involvement.

Rheumatology Myths Busted

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The American College of Rheumatology has put together a list of 13 myths about rheumatoid arthritis.

A new study suggests joint complaints attributed to the popular breast cancer drugs are not associated with inflammatory arthritis or autoimmune disease.

Physicians treating patients with fibromyalgia syndrome should rule out coexisting disorders and establish possible inducing factors.

The numerous symptom domains of fibromyalgia syndrome (FMS) include pain, fatigue, sleep disturbance, mood disturbance, and cognitive dysfunction, as well as close association with other “central sensory augmentation” conditions, such as irritable bowel syndrome and various forms of headache.

Varying practitioner beliefs about what makes patients who have fibromyalgia syndrome (FMS) “behave” differently from the general population are complicated by a paucity of studies, heterogeneity of the patient population, and other factors.

Gout is the most common inflammatory arthritis. Arthrocentesis and identification of negatively birefringent monosodium urate crystals from aspirate is the gold standard for diagnosis.

With the rising incidence of obesity and an increasing older population, the burden of osteoarthritis (OA) is expected to grow. Understanding of the disease is limited, and there are indications that many patients are receiving suboptimal care.

Hip injuries are common in dancers, runners, and soccer players. Knowledge of the mechanism of injury and the sport can help uncover the diagnosis. Muscular strength testing should be performed on the cardinal movements of the hip joint.

A phase II clinical study began for Galapagos NV's drug candidate GLPG0259, a novel drug being developed for rheumatoid arthritis.