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ACP Gout Guidelines Reviewed and Critiqued by Rheumatologists

ACP released clinical practice guidelines for the diagnosis and management of gout. Interestingly, these are not always aligned with the 2012 ACR gout guidelines.

Decreased CD4 T Cells with Rituximab Infusions

Rituximab (RTX) is a monoclonal antibody directed against the CD20 antigen on B cells and when administered causes a marked depletion of CD20+ B cells.

Lymphotoxin B and Adipose Derived Stromal Cells Regulate Skin Fibrosis in Scleroderma

A possible mechanism behind the fibrosis that occurs in scleroderma has now been identified, a mechanism, researchers say, that may one day lead to a treatment for the disease.

IgA ACPA and Plasmablasts Point to Microbiome in Pre-Clinical Rheumatoid

Serum antibodies precede the development of clinical rheumatoid arthritis (RAby) by many years, and yet we still have much to learn about this preclinical phase.

When Cheap Generics Morph Into Expensive Prescriptions

The Wall Street Journal has reported an alarming trend in generic drug pricing that affects many, especially the elderly and those with arthrtis.

Prevalence of Inflammatory Bowel Disease Increases

The MMWR has reported that Crohn’s disease and ulcerative colitis, collectively known as inflammatory bowel disease (IBD), previously (1999) had an estimated 1.8 million (0.9%) prevalence. But as of 2015, an estimated 3.1 million (1.3%) of U.S.

Is There a Familial Risk to Scleroderma?

Using population based data, researchers found a 10 fold increase prevalence of SSc in first degree relatives. That equates to a relative risk of 81. Genetic factors appear to be important in the risk for scleroderma.

The RheumNow Week in Review – 28 October 2016

Dr. Jack Cush reviews highlights, news and journal reports from this week at RheumNow.com

Simultaneous Versus Staged Bilateral Total Knee Arthroplasty

This metanalysis from 2013 reports on an important issue for orthopedists and rheumatologists alike. The issue being in those who need bilateral total knee arthroplasty, is it better to do both knees at once or to do one at a time (staged, serial) arthroplasties..

POSTURE Study: Apremilast Fails in Ankylosing Spondylitis

ClinicalTrials.gov has listed the results of the POSTURE study, a large randomized placebo-controlled trial wherein apremilast was found to yield no benefit (compared to placebo) in treating ankylosing spondylitis (AS) (32.5% vs. 36.6% ASAS20 at week 16) patients.

Kawasaki Disease Pathogenesis Hinges on Interleukin-1

Researchers from the Toronto Hospital for Sick Children have published in the Journal of Immunology that a polymorphism in the inositol-triphosphate 3-kinase C (ITPKC) (rs28493229) is associated with the pathogenesis of Kawasaki's disease (KD).

A Neural Signature in Fibromyalgia

Fibromyalgia is a well characterized condition with disordered pain processing. Although the clinical constellation and diagnostic clues are well characterized, FM lacks a diagnostic biomarker and most imaging and tissue diagnostics have been unrevealing.

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