News

Are radiographic axSpA and ankylosing spondylitis one in the same?

The established criteria for radiographic axial spondyloarthritis and axial spondyloarthritis that is classified as ankylosing spondylitis-is essentially the same, report physicians who recommend the interchangeable use of the terms "ankylosing spondylitis" and "radiographic axial spondyloarthritis."

What’s next for rheumatoid arthritis-associated periodontal disease?

Identifying and treating symptoms that can appear years before the clinical onset of rheumatoid arthritis could play a role in helping patients offset the condition. And now, new research that identifies a bacteria as a potential cause of these symptoms has one rheumatologist positing whether improved oral care, or maybe a vaccine, might be effective in preventing rheumatoid arthritis.

Image IQ Raynaud's syndrom

Image IQ: Cold Fingers

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A 19-year-old woman asked her primary care doctor about something strange that began to occur with her hands:  Her fingers were cold and numb during the summer months. What's your diagnosis?

The Burden of Comorbidities Weigh Differently on PsA and AS Patients

High levels of comorbidity burden are associated independently with poor physical function and increased disability in patients with psoriatic arthritis, however, patients ankylosing spondylitis did not report worse function when comorbidities were present.

Some Scleroderma Patients are Protected from Cancer

Researchers writing in Arthritis and Rheumatology have found that some scleroderma patients carry enriched antibodies that may prevent cancer and provide immunity to other systemic sclerosis-associated conditions, such as scleroderma renal crisis and SSc-gastrointestinal disease.

Bone Spurs Entirely Local, Not Systemic

Bone spurs primarily occur as a result of biomechanical stress, not a systemic condition, which may explain why they are associated with foot osteoarthritis, not of the hand.

Upadacitinib vs Adalimumab in RA

The JAK1-selective inhibitor upadacitinib successfully improved the signs, symptoms and function of rheumatoid arthritis patients in a randomized clinical trial published this month in Arthritis and Rheumatology.

Over the past 20 years, while the demographics of systemic lupus erythematosus (SLE) hospitalizations have not noticeably changed, the comorbidities that lead to hospitalizations and poor outcomes in SLE have changed.

New Treatment Option for Behçet’s Disease

On Friday, the U.S. Food and Drug  Administration approved apremilast (Otezla, Celgene) for the treatment of oral ulcers associated with Behçet’s disease, a rare, chronic, multisystem inflammatory condition that affects approximately five in 100,000 people in the U.S.

Understanding the Role of Polyautoimmunity in Rheumatic Diseases

An estimated 5 percent of the world’s population is diagnosed with one of a group of heterogeneous autoimmune rheumatic diseases (ARDs) including systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), and Sjogren’s syndrome (SS). Not only do these diseases share mechanisms and risk factors, they are often comorbid conditions recognized as polyautoimmune (PolyA) manifestations of the same underlying dysfunction.

Teach them to fish:  Addressing the sexual health needs of patients and practice

The impact of chronic inflammatory disease on sexual function may seem obvious but it is poorly understood. Pain, morning stiffness, joint swelling and fatigue can lead to a decreased sexual interest and can inhibit actual intercourse. In this article, Dr. Kim Gorgens reviews the current literature on sexual function for patients with chronic conditions, such as arthritis, and makes recommendations for incorporating sexual function complications as part of the discussion in a clinic exam. 

 Tofacitinib Demonstrates Sustained Improvement in RA

In an article published in a recent edition of Arthritis Research & Therapy, Jurgen Wollenhaupt and colleagues from multiple international centers have discovered that tofacitinib 5mg and 10mg twice a day remained effective and safe even after 8 and 9.5 years respectively.

Arthritis Manifestations Differ in RA and OA Patients

Anne-Mari Mustonen and colleagues in Finland have determined the respective fatty acid (FA) signatures found in the infrapatellar fat pad (IFP) and synovial fluid (SF) of patients with osteoarthritis (OA), and rheumatoid arthritis (RA). While the authors’ findings are inconclusive, they give insight into the complex alterations in fatty acid profiles found in knee arthropathies. They present their findings in a recent Arthritis Research & Therapy.

Highlights from LUPUS 2019

New results for baricitinib and ustekinumab use in patients with systemic lupus erythematosus (SLE) were presented in April at the International Congress on Systemic Lupus Erythematosus (LUPUS 2019), which was held in San Francisco. Here, we summarize those results, plus much more from the meeting.

Q&A:  Dr. Jim Oates on Hard-to-Treat Lupus in Black Patients

The prevalence of systemic lupus erythematosus (SLE) is higher among black patients. They can present with a worsened disease state and mortality rates can be higher. This suggests a need for better therapeutic options, says Jim C. Oates, M.D., of Medical University of South Carolina. In this Q&A, Dr. Oates addresses treatment challenges black patients face.