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Not all cases with rheumatic disease turn up in the rheumatology literature, of course. Test your diagnostic skills on these four puzzlers from other journals. (We present brief descriptions only, with hyperlinks to the original reports.)

In a before-and-after study with CT imaging, signs of large vessel vasculitis and aortic wall thickening improved for some but not all patients treated with steroids for giant-cell arteritis

Rheumatoid arthritis pain has been alleviated in half of patients enrolled in a study which used an electrical implanted device to emit magnetic pulses at the Academic Medical Center in Amsterdam, the Netherlands.

Prior authorizations have begun to spread pandemic-like from high-cost biologics to treatments used routinely in rheumatology. The time burden on rheumatologists is insupportable, contends the author, who says it's time to take action.

Registry data show that smokers with spondyloarthropathies have markedly less improvement in disease activity on TNF inhibitors. The evidence also suggests that quitting the smoking habit erases this disadvantage.

In a study published in the journal Clinical Chemistry and Laboratory Medicine, investigators identified uric acid as a potential biomarker in the progression of multiple sclerosis disability.

Patient age and platelet count can inform the need for temporal artery biopsy in diagnosing giant cell arteritis, a retrospective study suggests.

The addition of a topical corticosteroid to once-weekly etanercept produces similar outcomes among patients with moderate to severe plaque psoriasis as a regimen of twice weekly etanercept at the same dose.

A clinical trial that evaluated the use of tocilizumab for the treatment of patients with rheumatoid arthritis and renal insufficiency found the medication to be safe and effective.

The TNF-α blocker improved growth rates for many preadolescent girls with juvenile arthritis, especially those who hadn't been taking steroids.

This lupus patient likes her rheumatologist but sometimes hates seeing him. She gives two reasons for this, and offers suggestions to improve the relationship.

A 606-patient randomized trial from Europe finds that a glucosamine-chondroitin combination works as well as the drug celecoxib (Celebrex) for knee osteoarthritis.

This observational cohort study from New Zealand found that "gossipy" magazines are often subtly taken from your waiting room, while the "non-gossipy" magazines remain.

The first antibody found (researchers claim) to react with both skin and joints may explain why psoriasis can progress to psoriatic arthritis. Validated, it could also improve diagnosis.

The optimal treatment time for slowing the progression of rheumatoid arthritis is earlier in the course of disease, researchers said in the Annals of Rheumatic Diseases.

A new online journal club, RheumJC, launches with two live chats on Twitter on January 29. It's the first journal club ever in rheumatology, an opportunity for rheumatologists worldwide to discuss important published research.

The FDA has decided will not regulate health apps designed to collect disease information. They're not ready to be useful for rheumatology. Nonetheless, your patients are undoubtedly using them.

IgG4 levels were low in this study for only systemic sclerosis and Sjögren's. But other patterns suggested aberrant immune regulation.

In court decision to approve generic colchicine for gout, American College of Rheumatology arguments about the risk to patients of exorbitant pricing may have played an important role. Is this a harbinger of something?

A blood test can identify which rheumatoid arthritis medications may not work for particular patients, saving time and money.

Biologic therapies for psoriasis and related diseases get high marks from patients. Guess what leads to dissatisfaction ...

(VIDEO) A gout drug with a new mechanism is showing promise in combination with existing remedies. In this interview, a leader in its progress to market tells why lesinurad could help put an undertreated disorder in a new light.

For treating rheumatoid arthritis not responsive to methotrexate, DMARD combinations beat monotherapy but at greater risk, a summary of recent evidence observes. In another, reviewers disagree about triple therapy.

Pfizer announced pregabalin controlled release was effective therapy in adult postherpetic neuralgia patients.

A large study of insurance claims adds to the evidence linking rheumatoid arthritis treatment to the risk of venous thrombosis.

Cosentyx (secukinumab) has been approved in Japan for the treatment of psoriasis vulgaris (also known as plaque psoriasis) and psoriatic arthritis.

When traditional medicine fails to relieve a patient's symptoms, the desire to seek alternative treatments can be a viable option for many people.

The benefits of drinking milk have been established in a number of previous studies, but one group recently looked at whether there were specific benefits in helping to delay knee osteoarthritis in women.

For patients diagnosed with systemic lupus erythematosus (SLE) finding relief for their symptoms can make a large difference in their quality of life.