Practice

Uricase-Targeted Therapies in Gout

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Know-it-now

The Wider Implications of Dactylitis

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Dactylitis, AKA the "sausage digit", is a hallmark of psoriatic arthritis (PsA), but as Possemato and colleagues point out, it is fundamentally a clinical sign, and not a diagnosis. This review article discusses the wider implications of dactylitis in rheumatology and medicine underscores the

Chikungunya Club Meeting (7.24.2026)

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Dr. Jack Cush reviews the news, journal reports from the past week on RheumNow.com.

Swimming Reduces Disability from Low Back Pain

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Swimming is commonly recommended for patients with chronic low back pain. Yet, there is little trial data investigating swimming. An Australian study has shown for the first time that a program of swimming can be clinically effective in reducing disability from chronic low back pain

Interferon-α as an Immunologic Driver of Sjögren's Disease

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Expert Perspective on Calcium Pyrophosphate Deposition Disease

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A recent perspective by Tedeschi tackles many unresolved issues around CPPD diagnosis, classification, and management, including the lack of clinical trials or FDA approved treatments.

Fibromyalgia: Diagnosis and Management

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Fibromyalgia (FM) affects 4–6% of the U.S. population, with nearly a 2 fold female predominance. Nociplastic pain underlies the pathophysiology of FM. CNS hypersensitization to both painful and non-painful stimuli occurs with little or no tissue pathology. Framing FM as a disorder of CNS

Seronegative RA Disease Activity (7.17.2026)

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

ACR: Medicare Cuts for Physicians Highlight Need for Reform

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The American College of Rheumatology (ACR) was disappointed that the proposed Medicare Physician Fee Schedule (MPFS) from the Centers for Medicare & Medicaid Services (CMS) once again included a serious cut to the conversion factor. The -1.68% cut—the sixth proposed cut in as many years—

ACP Position Paper on Dietary Supplements

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More than half of U.S. adults use dietary supplements, yet only a quarter use supplements recommended by a healthcare professional, and current law lets supplements reach the market with no premarket safety evaluation, unlike drugs or food additives. The paper notes that under DSHEA, dietary

Guidelines to Spot Cancer in High Risk Dermatomyositis

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International guidelines can help identify dermatomyositis patients with a particularly high risk for cancer, according to a retrospective single-center U.S. study.

Saliva and Uric Acid Testing

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A recent report from China reaffirms the potential utility of salivary uric acid (UA) testing  delivers smartphone-guided, enzyme-free gout screening at home for pennies per test.

Do we need Better Strategies to Prevent Osteoporotic Fractures?

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In a recent JAMA Viewpoints article, Dr. Susan Ott addresses several controversies in preventing osteoporosis (OP) related fractures.