Clinical News & Knowledge: Rheumatic Diseases
RA therapies in 2009: The latest on drug effectiveness
Clinical study findings of recent years support the notion that patients with rheumatoid arthritis (RA) should be treated earlier and more aggressively. Monotherapy with disease-modifying antirheumatic drugs (DMARDs) is effective in some cases, but triple DMARD therapy is superior to double therapy... More »
Keeping acute rheumatic fever in the differential
Acute rheumatic fever (ARF) was a major cause of morbidity and mortality in past decades, but with the passage of time and medical advances, it faded from the forefront of clinical medicine and, in turn, from physicians' minds. However, a resurgence of ARF has been reported in the United States and... More »
Rashes and fevers in children: Sorting out the potentially dangerous - Part 3
Children who present with rash and fever can be divided into 3 groups: those with features of serious illness who require immediate intervention, those with clearly recognizable viral syndromes, and those with early or undifferentiated rash. The morphology of lesions among children with symptoms of... More »
Evaluating cardiovascular risk in rheumatoid arthritis
There have been significant advances in the management of rheumatologic disorders with the availability of newer disease-modifying drugs and biologic agents. However, cardiovascular disease (CVD) morbidity and mortality remain significantly increased in patients with rheumatologic disorders,... More »
What pay for performance means for musculoskeletal medicine
ABSTRACT: Pay for performance (P4P) is causing physicians to examine how they provide care individually and collectively within local health systems. It is the most recent attempt by Medicare and commercial payers to reduce the cost and improve the outcomes of health care. Understanding P4P and... More »
Managing musculoskeletal issues in lupus: The patient’s input invited
ABSTRACT: About half of patients with systemic lupus erythematosus experience musculoskeletal involvement: arthritis, arthralgia,myalgias, myositis, tenosynovitis, fibromyalgia, or osteonecrosis. Patients with arthritis often have symmetrical large- and small-joint polyarthritis unassociated with... More »
Spondyloarthropathies: Update on Diagnosis and Therapy
Together the spondyloarthropathies form a group of overlapping chronic inflammatory rheumatologic diseases that show a predilection for involvement of the axial skeleton, entheses (bony insertions of = ligaments and tendons), and peripheral joints. They also may involve extraskeletal structures,... More »
Neuropsychiatric disorders more common in rheumatologic disease
Sundquist K, Li X, Hemminki K, Sundquist J, Karolinska Institute, Huddinge, Sweden, and German Cancer Research Center, Heidelberg. Subsequent risk of hospitalization for neuropsychiatric disorders in patients with rheumatic diseases: a nationwide study from Sweden. Arch Gen Psychiatry.... More »
Arthritis on the Rise: A Growing Problem
The number of Americans with arthritis or another rheumatological disorder is expected to climb to 67 million—a 44% increase—by the year 2030, according to a new study released by the CDC for the National Arthritis Data Workgroup (NADW). More »
Arthritis Prevalence Projected to Reach 25% by 2030
An estimated 46.4 million US adults, or approximately 21% of the adult population, self-reported a physician-diagnosed form of arthritis, which is the leading cause of disability in the United States, according to 2005 data collected by the National Arthritis Data Work group. The work group... More »
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