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Zika Virus May Cause Guillain-Barré Syndrome

The spectrum and extent of the Zika virus is still evolving.  Lancet has reported 42 patients diagnosed with Guillain-Barré syndrome (GBS) during the Zika virus outbreak in French Polynesia.

Subclinical Synovitis in Psoriasis Portends Future Psoriatic Arthritis

It is estimated that nearly 30% of psoriasis patients will develop psoriatic arthritis (PsA).  This prevalence was studied by performing MRI scans on asymptomatic psoriasis (n=56) and 30 control patients without arthritis. 

Tools, Brains & Organizers for Your Phone

Most people can’t live without their cell phone. But does the device define the modern medicine man and woman?  

Rheumatoid Arthritis Alone is Not a Risk for Post-Op CV Events

Using hospitalization claims from 7 states, reasearchers studied the risk of cardiovascular outcomes following surgery in rheumatoid arthritis (RA) patients.  (Citation source http://buff.ly/1TDsVG6)

Calling a Doctor by His or Her First Name

Romeo and Juliet, Act II, Scene II: "What's in a name? That which we call a rose by any other name would smell as sweet. So Romeo would, were he not Romeo call'd, retain that dear perfection which he owes without that title."

New Classification Criteria for Macrophage Activation Syndrome

Systemic juvenile idiopathic arthritis (SoJIA) is one of the most common underlying etiologies to the macrophage activation syndrome (MAS).  

Cell Phone Study Proves Car Crash Risk

In a study published in Proceedings of the National Academy of Sciences, researchers enrolled over 3,500 U.S. drivers, aged 16 to 98 years, and followed them for a three-year period after rigging their vehicles with internal video cameras and devices to track speed and location.

Oral Prednisolone and NSAIDs Equipotent in Acute Gout

An emergency department based study evaluated the efficacy and safety of oral prednisolone versus indomethacin in 416 patients with acute gout in a multicenter, double-blind, randomized trial.

Curbside Consults - February 2016

The following is a collection of cases presented to me by rheumatology colleagues. Each has a challenging therapeutic or safety issue. Answers are based on experience with references from literature and guidelines.

Challenges of Dermatomyositis Progress

In the current issue of Lancet, Pierre Miossec discusses the challenges of studying and managing juvenile dermatomyositis and, specifically, the

Transdermal NSAID Touted as an Advance

Reuters reports that researchers at the University of Warwick have devised a new transdermal drug delivery patch that may change the future of pain management. 

Febuxostat Safe in Gout with Moderate-Severe Renal Impairment

Renal impairment is a risk factor for gout and a barrier to optimal gout management. Many of the drugs used to treat gout require adjustment in those with renal disease.

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