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Articles By Jack Cush, MD

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Guiding Patients Considering Biologics

What are the questions patients should ask their doctors about biologics? Are there rules for starting and stopping biologics?

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Cochrane Reports Moderate Evidence Favoring Biologic Add-on Therapy

Singh and coworkers have assessed the value of adding a biologic to rheumatoid arthritis (RA) patients not responding to either methotrexate (MTX) or DMARDs. The results of their netowork metanalsysis is published as a Cochrane review wherein they examined a total of 90 RCTs (73 new) with 32

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Netrin-1 May Promote Lung Fibrosis in Scleroderma

Mechanisms underlying the pulmonary fibrosis of systemic sclerosis are poorly understood, yet are the focus of both research and new drug development. 

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RheumNow Week in Review – 13 May 2016

Dr. Cush reviews highlights from this week on RheumNow.com.

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Vasculitis Associated with Biologic Use

The widespread use of existing biologics has sometimes been associated with the paradoxical development of biologic-induced autoimmune phenomena, including vasculitis. A recent review of more than 200 vasculitis cases associated with biologic use has profiled the range of these unsual and rare events.

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Generics Surge the Market

Generics are being approved at a record-setting pace.  Thanks to the 2012 FDA Safety and Innovation Act, there are new funds generated by manufacturers' fees for drug applications to hasten the approval of generics. In 2015 alone, the FDA has approved 580 generic drugs – the highest number on record – while another 146 were granted tentative approval.

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Curbside Consults - May 2016

How would you manage rheumatoid arthritis patients with melanoma in situ, or high liver enzymes or interstitial lung disease? Curbside consults takes on these challenging therapeutic or safety issues with answers are based on experience, literature and guidelines.

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Scleroderma Digital Ulcers Fail to Respond to Endothelin Antagonist

Khanna and coworkers have published the results of the DUAL-1 and DUAL-2 clinical trials (sponsored by Actelion Pharmaceuticals) testing the efficacy macitentan in reducing the number of new digital ulcers in patients with systemic sclerosis.

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Moderate Alcohol Intake While on Methotrexate Appears Prudent

Research presented at the annual British Society for Rheumatology conference revealed that rheumatoid arthritis patients who drink moderately while taking methotrexate appear to be at no greater risk for liver damage than nondrinkers.

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faSScinate Study Shows Tocilizumab to be Effective in Systemic Sclerosis

The results of the faSScinate trial were published in Lancet showing that treatment with Actemra (tocilizumab) resulted in a reduction in skin thickness and an improvement in lung function in patients with systemic sclerosis (SSc).

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