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Articles By Janet Pope, MD, MPH, FRCPC

syringe, pill, DMARD, Treatment, therapy

What should head-to-head studies in inflammatory arthritis teach us?

The multimillion dollar question for inflammatory arthritis prescriptions is: which drug should I use next?

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IgG4: Rare, but new treatments on the horizon

IgG4 is a rare autoimmune disease with excessive IgG4 immunoglobulins that can affect multiple organs yielding plasma cell deposition (inflammation) and fibrosis.

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Big data

Rheumatoid arthritis and the ‘big bang’ at the ACR!

Is there ‘bang for the buck’ using big data to help predict who will develop RA in at-risk populations and similarly to predict response to csDMARDs, TNFi and JAKi in RA?

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magnifying glass with IPAF

What is IPAF?

Idiopathic Interstitial Pneumonia with Autoimmune Features - or IPAF - describes patients with interstitial pneumonia with autoimmune features, but they don’t meet a diagnosis of a CTD.

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How to assess ILD in your patients?

Have a high index of suspicion in your patients with connective tissue disease (especially systemic sclerosis, inflammatory myositis), and rheumatoid arthritis.

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epilepsy,brain,seizure,CVA

Striking a ‘nerve’ in RA: understanding neuromodulation

Over the last 50 years, discoveries of connections between inflammation and the nervous system have been better understood.

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How to properly use steroids in early RA

Guidelines differ on the early treatment of RA – ACR suggests not to use glucocorticoids (GC) and EULAR updated recommendations for RA treatment presented at #EULAR2025 continued to suggest early treatment with MTX and glucocorticoids. We do know that it is not easy to get a significant minority of RA patients off of prednisone.

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uveitis eye iritis

Putting IL17i into ‘focus’ for SpA-associated uveitis

The longest studied drug for uveitis in SpA has been monocolonal TNFi Abs. Reductions of acute anterior uveitis have been found with etanercept but less impressively than adalimumab, infliximab, and in my opinion less than golimumab and certolizumab pegol. Other data have emerged for JAKi and IL17i, with respect to acute anterior uveitis.

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Choices

SLE Treatment Landscape: Abundance or Overload?

Imagine a world where the multiple drugs in Phase 2 and 3 trials actually get approved, and we get access to them? I know you may be thinking that I am overly optimistic, but there are so many drugs in development in lupus that we may have true difficulty choosing what to use.

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Checklist survey

Contemporary lupus nephritis treatment

Outcomes in lupus nephritis are akin to the glass half full. Serial monotherapy is out, as the percentage who achieved a complete renal response was very low and some went to end stage kidney disease (ESKD). Solutions?

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