Dr. Jack Cush reviews the news and journal reports from this week on RheumNow.com
Dr. John Cush RheumNow
4 months 3 weeks ago
Open-access Arthralgia Clinics
The early diagnosis of IA, particularly RA, hinges on efficient referral and screening of arthralgia patients. Yet most rheumatology practices are ill-equipped or don't have EACs. This report describes the use of an OAC to manage primary care https://t.co/8ut6LkIUEX
Dr. John Cush RheumNow
4 months 3 weeks ago
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Dr. John Cush RheumNow
4 months 3 weeks ago
Metanalysis of 8 articles, 2655 gout pts shows that ELEVATED neutrophil-to-lymphocyte ratio (NLR; SMD: 0.75; 95% CI: 0.48–1.03) and platelet-lymphocyte ratio (PLR; SMD: 0.52; 95% CI: 0.24–0.79) showed significant value in predicting acute gout attacks https://t.co/RaArPdoc2s https://t.co/Qi2WDSPlde
Dr. John Cush RheumNow
4 months 3 weeks ago
Open-label experience with upadacitinib in 27 Behcets pts (median 36 yrs) w/ median BDCAF 4 (2–7). At 6 mos overall response seen in 23/27 (85%) (16 CRs, 7 PRs) w/ signif reductions in BDCAF, CRP, ESR, & steroid dose by week 24. 3 pts relapsed during F/U https://t.co/VXkskVyWgT
In the U.S, lupus nephritis affects approximately 40–50% of patients with systemic lupus erythematosus, contributing significantly to the morbidity and mortality of the affected individuals. However, significant differences in clinical approaches to lupus nephritis management still persist.
Dr. John Cush RheumNow
4 months 3 weeks ago
B cell Targeted CAR-T Therapy for Autoimmune Diseases
The review by Qi Li and colleagues provides a comprehensive examination of the progression, clinical applications, challenges, and future directions of B-cell-targeted CAR-T therapy across multiple autoimmune conditions. https://t.co/09BnvVYfiZ
As rheumatologists, most of us manage osteoporosis in some form every single day. We have newer agents, newer sequencing strategies, and an increasing number of patients asking for “less medicinal” options that go beyond a prescription. At RWCS, Dr. Gina Woods opened her talk by reframing osteoporosis as a comprehensive approach to bone and muscle health rather than a narrow discussion about a DEXA report.
Dr. John Cush RheumNow
4 months 3 weeks ago
Hydroxychloroquine Lowers SLE and RA Hospitalizations
A population-based study from British Columbia, Canada, shows that antimalarial adherence was associated with a lower risk of hospital admission in patients with rheumatoid arthritis (RA) and systemic lupus erythematosus https://t.co/YR8Zfw8pL6
The early diagnosis in inflammatory arthritis (IA), particularly rheumatoid arthritis (RA), hinges on efficient referral and screening of arthralgia patients. Yet most rheumatology practices are ill equipped or don't have early arthritis clinics (EACs).
Dr. John Cush RheumNow
4 months 3 weeks ago
FDA has granted Fast Track designation to J&Js nipocalimab for use in #SLE based on the results of a Phase 2b JASMINE study in which nipocalimab demonstrated reduction in lupus disease activity and potential for steroid sparing https://t.co/puQN6ecScj https://t.co/au422eamLR
Dr. John Cush RheumNow
4 months 3 weeks ago
Progress in GCA and Takayasu's Arteritis
Despite carefully planned taper schedules, about 75% of GCA patients remain on glucocorticoids after 4 years, and 74% experience side effects. In rheumatology, prolonged steroid use often leads to expected toxicity. https://t.co/l65ER5rGU8
Dr. John Cush RheumNow
4 months 3 weeks ago
Retrospective, chart study of EGPA pts from 5 European countries (2015–2021). 381 pts classified as 36 prodromal; 220 eosinophilic; 125 vasculitic. Nearly half (185) were Rx w/ biologics. Vasculitic pts had most comorbiditie, clinical Sxs & hospitalisations. All on steroids and https://t.co/tgvjCFLHHj
Dr. John Cush RheumNow
4 months 3 weeks ago
Observational study of 42 Mexican lupus nephritis pts on Immunosuppressives + Calcineurin Inhibitors (CNIs) @ 12 mos complete & partial responses seen in 26% & 36%, w/ signif reduction in proteinuria (2.89 vs 0.72 g/d, p < .001), & transient decrease in eGFR at 12 mo (109 vs 114) https://t.co/G70POtJwhS
