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The RheumNow Week in Review – 2 June 2017

Dr. Jack Cush reviews highlights from the past week on 

  1. 108 Early RA pts (<6 mos) 41% use CAM/nutraceutical.CAM & higher DAS28 had 7 mo DMARD delay; Higher HAQ levels associated with shorter delay in DMARD use.
  2. 33 pts with Axial Spondyloarthritis Rx with NSAIDs decreased their MRI sacroiliitis and BM edema with longterm NSAIDs only
  3. Scleroderma Lung Study I/II CTX and MMF were associated with significant reductions in skin thickness compared to PBO @2yrs
  4. Rare MTX-induced skin necrosis w/ skin erosions, oral ulcers, cytopenia, 17% mortality. @Ris =age>60, CRI, no folate
  5. VINDICATE mnemonic for AVN causes: Vascular, Infection, Drugs, Inflamm, Congenital, Autoimmune, Trauma, Endocrine
  6. RA pregnant women shown to increase type 1 interferon gene expression from pre-preg to 3rd trimester
  7. 23% of adult rheumatologists care for kids w/ JIA. 94% are comfortable diagnosing JIA; 76% comfortable treating JIA
  8. New BSR 2017 British Society of.Rheumatology releases new guideline for Rx of gout; noting curative ULT must be offered to all pts early.
  9. Biologics Before Triple DMARD is Not Cost Effective in Rheumatoid Arthritis 
  10. High Fiber Intake May Decrease Osteoarthritis Knee Pain
  11.  Chondroitin Effective in Knee OA. Or is it?
The author has no conflicts of interest to disclose related to this subject

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