The RheumNow Week in Review – 18 August 2017

Jack Cush, MD

Aug 18, 2017 12:57 pm

The RheumNow Week in Review discusses the past week's news, journal articles and highlights from RheumNow.com. This week's report includes new data on lupus survival, pediatric lupus guidelines from SHARE, room temperature storage of etanercept, over or under-testing by rheumatologists and failure of pain meds to treat pain.

Lupus Survival improved in the 1990s; high-income countries have a 5-yr survival >95% in adults & kids; but low/middle-income countries have a lower survival in kids alone. https://buff.ly/2vV9vIJ
Study of Acute gout episodes : 26% had SF MSU & CPP crystals. CPP crystals in gout patients was assoc. with gout duration, CKD, erosive dz; not age https://buff.ly/2wdFbK9
RA and PsA (but not depression) were assoc. with increased risk of pre-term birth & preeclamsia. https://t.co/7ZHzNeQBWK
Downside to steroids: 2 yrs of intraarticular triamcinolone knee injx (vs PBO) caused more cartilage loss; but no diff in knee pain https://t.co/795WiSBhCA
26 yoF undergoing B/L hand/forearm transplants developed RA without prior hx of RA in either the donor or recipient https://t.co/Ih3kpvv89u
SHARE SLE Guidelines Recommend Dx by SLICC, testing for complement defic., ENA, CXR, referral to a pediatric rheum https://t.co/4Zd5qSFtZD
Study shows etanercept may be stored at conditions of 25°C±2°C (77F) for up to 1 month within expiry dates https://t.co/HMf7pcVudE
One in three Rheumatoid arthritis patients fail to pick up Rx meds because of cost according to Natl RA Society in the UK. https://t.co/3DaqjLfhF4
Tocilizumab in Scleroderma completed enrollment in phase III trial – it will be another yr till skin + lung results https://t.co/6QVGeDScbv
How Much Testing is Enough?
No Evidence to Support Use of Gabapentinoids in Low Back Pain
Marijuana Has Little Effect on Most Types of Pain
Psoriatic Arthritis Patients with Comorbidities have Worse Disease and Poor Response
Pegloticase Infusion Reactions Largely Seen in Non-Responders