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https://www.readbyqxmd.com/read/27886804/sarcoidosis-rheumatology-perspective
#1
REVIEW
Arthur M F Yee
Sarcoidosis is a systemic inflammatory granulomatous disease for which rheumatologists are uniquely trained and qualified to treat. Historically, sarcoidosis has been managed within silos of medical subspecialties, but with increased appreciation of the systemic nature of this disorder and the availability of more therapeutic options, it is clear that a multidisciplinary approach, with the rheumatologist as a key component, can offer more optimal care. This manuscript reviews clinically relevant immunology and pathophysiology, diagnostic issues, management decision-making, and therapeutics in the care of patients with sarcoidosis...
April 2016: Best Practice & Research. Clinical Rheumatology
https://www.readbyqxmd.com/read/27306356/echocardiography-in-the-assessment-of-patients-with-rheumatologic-diseases
#2
REVIEW
Maha A Al-Mohaissen, Kwan-Leung Chan
Cardiovascular disease is an important extra-articular manifestation of rheumatologic diseases leading to considerable mortality and morbidity. Echocardiography emerges as a useful non-invasive technique for the screening and evaluation of cardiac involvement in these patients. With the technological advancement in echocardiographic techniques, we have gained a greater appreciation of the prevalence and nature of the cardiac involvement in these patients, as detection of subclinical disease is increasingly feasible...
August 2016: Current Cardiology Reports
https://www.readbyqxmd.com/read/27135404/the-clinical-effectiveness-and-cost-effectiveness-of-abatacept-adalimumab-etanercept-and-tocilizumab-for-treating-juvenile-idiopathic-arthritis-a-systematic-review-and-economic-evaluation
#3
Jonathan Shepherd, Keith Cooper, Petra Harris, Joanna Picot, Micah Rose
BACKGROUND: Juvenile idiopathic arthritis (JIA) is characterised by joint pain, swelling and a limitation of movement caused by inflammation. Subsequent joint damage can lead to disability and growth restriction. Treatment commonly includes disease-modifying antirheumatic drugs (DMARDs), such as methotrexate. Clinical practice now favours newer drugs termed biologic DMARDs where indicated. OBJECTIVE: To assess the clinical effectiveness and cost-effectiveness of four biologic DMARDs [etanercept (Enbrel(®), Pfizer), abatacept (Orencia(®), Bristol-Myers Squibb), adalimumab (Humira(®), AbbVie) and tocilizumab (RoActemra(®), Roche) - with or without methotrexate where indicated] for the treatment of JIA (systemic or oligoarticular JIA are excluded)...
April 2016: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/27085539/systemic-treatment-of-pediatric-psoriasis-a-review
#4
REVIEW
Maddalena Napolitano, Matteo Megna, Anna Balato, Fabio Ayala, Serena Lembo, Alessia Villani, Nicola Balato
Psoriasis is a chronic, immune-mediated, inflammatory skin disease, affecting 1-3% of the white population. Although the existence of two psoriasis incidence peaks has been suggested (one in adolescence before 20 years of age and another in adulthood), its onset may occur at any age, including childhood and adolescence, in which the incidence is now estimated at 40.8 per 100,000. As for adult psoriasis, pediatric psoriasis has recently been associated with obesity, metabolic syndrome, increased waist circumference percentiles and metabolic laboratory abnormalities, warranting early monitoring and lifestyle modifications...
June 2016: Dermatology and Therapy
https://www.readbyqxmd.com/read/26839472/clinical-and-genetic-features-of-korean-patients-with-recurrent-fever-and-multi-system-inflammation-without-infectious-or-autoimmune-evidence
#5
Ji Ae Yang, Ji Yong Choi, Eun Ha Kang, You-Jung Ha, Yun Jong Lee, Yeong Wook Song
Autoinflammatory disease (AID) is a newly proposed category of disorders characterized by unprovoked episodes of inflammation without any infectious or autoimmune evidence. We aimed to characterize the clinical and genetic features of patients who had recurrent fever and multi-system inflammation but remain unclassified for any established AIDs. Medical records of 1,777 patients who visited our Rheumatology Clinic between March 2009 and December 2010 were reviewed to identify those who met the following criteria; 1) presence of fever, 2) inflammation in two or more organ systems, 3) recurrent nature of fever or inflammation, 4) no evidence of infection or malignancy, 5) absence of high titer autoantibodies, and 6) failure to satisfy any classification criteria for known AIDs...
February 2016: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/26607275/balneotherapy-in-rheumatoid-arthritis-a-systematic-review
#6
Isabel Santos, Pedro Cantista, Carlos Vasconcelos
Rheumatoid arthritis (RA) is a chronic systemic autoimmune disease characterized by persistent inflammation of synovial joints with pain, often leading to joint destruction and disability, and despite intensive research, the cause of RA remains unknown. Balneotherapy-also called mineral baths or spa therapy-uses different types of mineral water compositions like sulphur, radon, carbon dioxin, etc. The role of balneotherapy is on debate; Sukenik wrote that the sulphur mineral water has special proprieties to rheumatologic diseases, including in the course of active inflammatory phases in RA...
August 2016: International Journal of Biometeorology
https://www.readbyqxmd.com/read/26425148/sarcoidosis-a-rheumatologist-s-perspective
#7
REVIEW
Senol Kobak
Sarcoidosis is a systemic disorder of unknown etiology, which may involve various tissues and organs and is characterized by a noncaseating granuloma reaction. While pathogenesis is not yet clear, cellular immune system activation and nonspecific inflammatory response occur secondarily to several genetic and environmental factors. T helper 1-cells and macrophage-derived pro-inflammatory cytokines stimulate the inflammatory cascade and formation of granuloma occurs as a result of tissue permeability, cell influx, and local cell proliferation...
October 2015: Therapeutic Advances in Musculoskeletal Disease
https://www.readbyqxmd.com/read/26343115/development-of-anti-cd20-antigen-targeting-therapies-for-b-cell-lymphoproliferative-malignancies-the-state-of-the-art
#8
Magdalena Witkowska, Piotr Smolewski
For decades, the available anticancer therapies were mostly based on nonspecific cytotoxic regimens. These cytostatic combinations, while effective in some subpopulations of patients, are often limited by extensive toxicity and/or development of tumor resistance. Although standard chemotherapy still remains a common therapeutic tool in the fight with cancer, immunotherapy increasingly revolutionizes treatment strategy for several hematologic malignancies. For a subset of patients with B-cell lymphoproliferative disease, the introduction of subsequently developed classes of anti-CD20 monoclonal antibodies (mAbs) has resulted in improved overall response rates and, to some extent, patient overall survival...
2016: Current Drug Targets
https://www.readbyqxmd.com/read/26329339/omeract-filter-evidence-supporting-the-measurement-of-at-work-productivity-loss-as-an-outcome-measure-in-rheumatology-research
#9
REVIEW
Dorcas E Beaton, Sarah Dyer, Annelies Boonen, Suzanne M M Verstappen, Reuben Escorpizo, Diane V Lacaille, Ailsa Bosworth, Monique A M Gignac, Amye Leong, Oana Purcaru, Sarah Leggett, Cathy Hofstetter, Ingemar F Peterson, Kenneth Tang, Bruno Fautrel, Claire Bombardier, Peter S Tugwell
OBJECTIVE: Indicators of work role functioning (being at work, and being productive while at work) are important outcomes for persons with arthritis. As the worker productivity working group at OMERACT (Outcome Measures in Rheumatology), we sought to provide an evidence base for consensus on standardized instruments to measure worker productivity [both absenteeism and at-work productivity (presenteeism) as well as critical contextual factors]. METHODS: Literature reviews and primary studies were done and reported to the OMERACT 12 (2014) meeting to build the OMERACT Filter 2...
January 2016: Journal of Rheumatology
https://www.readbyqxmd.com/read/26209895/eosinophilia-in-rheumatologic-vascular-disorders
#10
REVIEW
Hiromichi Tamaki, Soumya Chatterjee, Carol A Langford
Peripheral and tissue eosinophilia can be a prominent feature of several unique rheumatologic and vascular diseases. These diseases span a wide range of clinical features, histologic findings, therapeutic approaches, and outcomes. Despite the rare nature of these entities--which makes large-scale studies challenging--knowledge has continued to grow regarding their epidemiology, pathophysiology, and management. This review compares and contrasts 5 rheumatologic and vascular conditions in which eosinophilia can be seen: eosinophilic granulomatosis with polyangiitis (Churg-Strauss), immunoglobulin G4-related disease, diffuse fasciitis with eosinophilia, eosinophilia-myalgia syndrome, and eosinophilic myositis...
August 2015: Immunology and Allergy Clinics of North America
https://www.readbyqxmd.com/read/26028339/early-biomarkers-of-joint-damage-in-rheumatoid-and-psoriatic-arthritis
#11
REVIEW
Angela Mc Ardle, Brian Flatley, Stephen R Pennington, Oliver FitzGerald
Joint destruction, as evidenced by radiographic findings, is a significant problem for patients suffering from rheumatoid arthritis and psoriatic arthritis. Inherently irreversible and frequently progressive, the process of joint damage begins at and even before the clinical onset of disease. However, rheumatoid and psoriatic arthropathies are heterogeneous in nature and not all patients progress to joint damage. It is therefore important to identify patients susceptible to joint destruction in order to initiate more aggressive treatment as soon as possible and thereby potentially prevent irreversible joint damage...
2015: Arthritis Research & Therapy
https://www.readbyqxmd.com/read/26000143/detection-of-autoantibodies-in-a-point-of-care-rheumatology-setting
#12
REVIEW
Konstantin N Konstantinov, Antonios Tzamaloukas, Robert L Rubin
Autoimmune rheumatic diseases are common and confront society with serious medical, social, and financial burdens imposed by their debilitating nature. Many autoimmune diseases are associated with a particular set of autoantibodies, which have emerged as highly useful to define and classify disease, predict flares, or monitor efficacy of therapy. However, current practice for monitoring autoantibodies is protracted, labor-intensive, and expensive. This review provides an overview on the value of point-of-care (POC) biosensor technology in the diagnosis and management of patients with autoimmune rheumatic diseases...
August 2013: Auto- Immunity Highlights
https://www.readbyqxmd.com/read/25982595/position-paper-from-the-spanish-society-of-rheumatology-on-biosimilar-drugs
#13
Miguel Ángel Abad Hernández, José Luis Andreu, Miguel Ángel Caracuel Ruiz, Miguel Ángel Belmonte Serrano, Federico Díaz-González, José Vicente Moreno Muelas
A biosimilar (BS) is a biological drug that contains a version of the active substance of an already authorized original biological product. The BSs are marketed after patent period of the original drug has ended and once it has been demonstrated that the differences regarding the innovative medicine have no relevant effect on its safety or clinical efficacy. The Spanish Society of Rheumatology, in line with the European Medicines Agency, considers that because of its nature and complexity of production, a BS cannot be considered to be the same as a generic drug...
September 2015: Reumatología Clinica
https://www.readbyqxmd.com/read/25969671/autoinflammatory-diseases-a-possible-cause-of-thrombosis
#14
Micaela La Regina, Francesco Orlandini, Raffaele Manna
Autoinflammatory diseases are a group of disorders due to acquired or hereditary disfunction of innate immune system and characterized by systemic or localized manifestations. The prototype is Familial Mediterranean Fever, a monogenic hereditary disorder, whose causing gene (MeFV gene) was identified in 1997 and opened the way to a new fascinanting chapter of rheumatology. A growing body of monogenic and poligenic autoinflammatory disorders has been described since then. Arterial and venous thrombosis is a common medical problem, with significant morbidity and mortality...
2015: Thrombosis Journal
https://www.readbyqxmd.com/read/25862243/balneotherapy-or-spa-therapy-for-rheumatoid-arthritis
#15
REVIEW
Arianne P Verhagen, Sita M A Bierma-Zeinstra, Maarten Boers, Jefferson R Cardoso, Johan Lambeck, Rob de Bie, Henrica C W de Vet
BACKGROUND: No cure for rheumatoid arthritis (RA) is known at present, so treatment often focuses on management of symptoms such as pain, stiffness and mobility. Treatment options include pharmacological interventions, physical therapy treatments and balneotherapy. Balneotherapy is defined as bathing in natural mineral or thermal waters (e.g. mineral baths, sulphur baths, Dead Sea baths), using mudpacks or doing both. Despite its popularity, reported scientific evidence for the effectiveness or efficacy of balneotherapy is sparse...
2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/25684125/the-association-between-lumbar-spine-radiographic-features-and-low-back-pain-a-systematic-review-and-meta-analysis
#16
REVIEW
Joachim Raastad, Michael Reiman, Remy Coeytaux, Leila Ledbetter, Adam P Goode
BACKGROUND/PURPOSE: Low back pain (LBP) is a prevalent musculoskeletal condition and represents a substantial socioeconomic burden. Plain film radiography is a commonly used imaging technique. Radiographic features (RFs) such as disc space narrowing, osteophytes, spondylosis, endplate sclerosis, spondylolisthesis, and facet joint osteoarthritis have all been debated as potential pain generators in the lumbar spine. The aim of this study is to (1) determine the association between LBP and lumbar spine RFs in both community- and occupation-based groups and (2) to determine if there are differences in these associations between these two groups...
April 2015: Seminars in Arthritis and Rheumatism
https://www.readbyqxmd.com/read/25455156/current-and-future-trends-in-biomarker-discovery-and-development-of-companion-diagnostics-for-arthritis
#17
REVIEW
David S Gibson, Michael J Bustard, Cathy M McGeough, Helena A Murray, Martin A Crockard, Andrew McDowell, Jayne K Blayney, Philip V Gardiner, Anthony J Bjourson
Musculoskeletal diseases such as rheumatoid arthritis are complex multifactorial disorders that are chronic in nature and debilitating for patients. A number of drug families are available to clinicians to manage these disorders but few tests exist to target these to the most responsive patients. As a consequence, drug failure and switching to drugs with alternate modes of action is common. In parallel, a limited number of laboratory tests are available which measure biological indicators or 'biomarkers' of disease activity, autoimmune status, or joint damage...
February 2015: Expert Review of Molecular Diagnostics
https://www.readbyqxmd.com/read/25276237/pictorial-review-of-intrathoracic-manifestations-of-progressive-systemic-sclerosis
#18
REVIEW
Hamdan Al-Jahdali, Prabhakar Rajiah, Carolyn Allen, Shyam Sunder Koteyar, Ali Nawaz Khan
Intra-thoracic manifestations of progressive systemic sclerosis (PSS) are not well known particularly the imaging features, which forms the basis of accurate and timely diagnosis. The aim of this study is to familiarize the physicians and radiologists with these features. The diagnosis can remain elusive because of the non-specific nature of symptoms which mimic many common conditions. Thus, the diagnosis of PSS can be missed leading to continuous morbidity if the correct imaging is not pursued. The authors examined the records of rheumatology patient referrals of over a 5 year period...
October 2014: Annals of Thoracic Medicine
https://www.readbyqxmd.com/read/25232571/systemic-lupus-erythematosus-cardiomyopathy%C3%A2-a-case-series-demonstrating-a-reversible-form-of-left-ventricular-dysfunction
#19
Mariko L Ishimori, Megha Agarwal, Roy Beigel, Rita K Ng, Nazanin Firooz, Michael H Weisman, Robert J Siegel
OBJECTIVE: Myocarditis is reported to be a common postmortem finding of systemic lupus erythematosus (SLE). However, most case reports on SLE cardiomyopathy (CM) have not found evidence of myocarditis upon biopsy. Our aim was to characterize the nature, course, and reversibility of left ventricular (LV) dysfunction in patients with SLE. METHODS: The records of 526 SLE patients were reviewed. Patients were included if: (1) at least 4 of 11 American College of Rheumatology criteria for SLE were met, (2) testing for erythrocyte sedimentation rate and hs-CRP were performed during hospitalization, and (3) echocardiogram demonstrated left ventricular ejection function (LVEF) <50%...
May 2014: Echocardiography
https://www.readbyqxmd.com/read/25198705/hcv-related-central-and-peripheral-nervous-system-demyelinating-disorders
#20
REVIEW
Sara Mariotto, Sergio Ferrari, Salvatore Monaco
Chronic infection with hepatitis C virus (HCV) is associated with a large spectrum of extrahepatic manifestations (EHMs), mostly immunologic/rheumatologic in nature owing to B-cell proliferation and clonal expansion. Neurological complications are thought to be immune-mediated or secondary to invasion of neural tissues by HCV, as postulated in transverse myelitis and encephalopathic forms. Primarily axonal neuropathies, including sensorimotor polyneuropathy, large or small fiber sensory neuropathy, motor polyneuropathy, mononeuritis, mononeuritis multiplex, or overlapping syndrome, represent the most common neurological complications of chronic HCV infection...
2014: Inflammation & Allergy Drug Targets
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