Vitamin D in Rheumatic Disease - is it Good Enough?

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Influential Rheumatoid Factors (5.8.2026)

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Dr. Jack Cush reviews the news and journal articles from this past week on RheumNow.com

A Review of Hydroxychloroquine Ocular Toxicity

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While hydroxychloroquine (HCQ) is thought to be a very safe drug, its ocular risk profile is probably more serious than appreciated. A comprehensive review published in the Journal of Rheumatology discusses HCQ pharmacokinetics, mechanisms of retinal toxicity, risk stratification, and evidence-based screening protocols and how the drug can be used and monitored.

Gout Control Lowers Cardiovascular Events

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A large target emulation trial suggests that gout patients prescribed urate-lowering treatment who achieve a serum urate level lower than 6 mg/dL significantly lower their risk of cardiovascular events.

Review of Toll-like Receptor Research

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A new review on Toll-like receptors (TLRs) systematically summarizes forty years of discoveries in the TLR field, from the initial identification of Toll in Drosophila embryonic development to the current understanding of

Nurses - the calm through chaos

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Gloria was the charge nurse on 3 West when a “code” was called. Action, running, and commotion ensues as the crash cart, nurses, and respiratory therapist appear at the bedside. Two residents emerge as the patient is hooked up to the monitor. While everyone assumes their position and role, Gloria ensures the protocol and steers the people, pumping, intubating, monitoring and medicating. 

A Patient’s Plea for a New Paradigm in Autoimmune Disease

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A current article in Nature Reviews Rheumatology has a patient boldly asking why we rheumatologists aren't more like her oncologists?

Breaking the Rules: Dual-Advanced Combinations in Rheumatology

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For decades, the standard of care in rheumatology has been combination therapy - pairing methotrexate (MTX) with an advanced biologic or synthetic agent to achieve optimal outcomes. 

Metabolic Syndrome Predicts Cardiovascular Outcomes in Inflammatory Arthritis

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Chronic inflammatory arthritis (CIA) is associated with elevated cardiovascular risk. While metabolic syndrome (MetS) is prevalent, how much it contributes to adverse clinical outcomes is unclear.

More Comorbidity in Difficult to Treat RA

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A systematic review demonstrated that smoking, obesity, fibromyalgia, and depression are significantly associated with difficult-to-treat rheumatoid arthritis (D2T-RA).

Great Lectures; Great Presentations

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Dr. Jack Cush lectures on giving a great presentation; based on 40 years of lecturing in Rheumatology.

COVID Virus Persistence with DMARD Use

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Drugs commonly used to treat systemic autoimmune rheumatic diseases (SARDs) may keep the SARS-CoV-2 circulating after COVID-19 infection in patients with these conditions, with researchers documenting substantially increased viral antigen persistence compared with other post-COVID patients.