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Articles By Jack Cush, MD

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5 Mistakes When Diagnosing Adult-Onset Still’s Disease (Best of 2015: #10)

Adult-onset Still's posses a interestng and diagnostic challeng when encountered. Here are 5 tips to improve your diagnostic acumen for this febrile disorder.

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DAS28-CRP or DAS28-ESR: Are they Biosimilar? (Best of 2015)

The disease activity score (DAS28) has been developed as a dynamic assessment tool and a therapeutic response measure for use in clinical trials and practice.

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PCPs Have Become the Largest Prescribers for Narcotics

Researchers at Stanford University analyzed 2013 Medicare Part D prescription drug coverage claims for narcotic painkillers containing hydrocodone, oxycodone, codeine and other opioids.  (Citation source http://buff.ly/1JgR2Tr)

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Will the Balance of JAK inhibition Yield Better Outcomes? Results of New JAK inhibitor - Peficitinib

Researchers from Keio University have published their results using novel JAK inhibitor peficitinib (ASP015K) as a monotherapy in moderate to severe RA patients. 

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In Academic Leadership, Women Outnumbered by Men With Moustaches

A study published in the BMJ Christmas issue shows only 13% of academic positions at US medical schools are held by women. Sadly, and strangely, even the uncommon subset, men with moustaches, outnumbered (20%) the women in academic leadership spots. 

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Predicting and Preventing Rheumatoid Arthritis

Rheumatologists and physicians are commonly asked, "what can I do to avoid rheumatoid arthritis?"  This is usually a concern for family members of those affected by RA.

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Bariatric Surgery Improves Rheumatoid Arthritis Outcomes

Obesity is a modest risk factor for rheumatoid arthritis (RA) onset. More importantly, obese patients have significanty lower treatment responses to DMARDs and biologics, making them harder to treat than your average RA patient.

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The Ill-Conceived Diagnosis of Fibromyalgia

Notalgia, Lyme disease in Texas and still wearing your hospital ID bracelet? You may have been misdiagnosed and instead have fibromyalgia!

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Herpes Zoster Increases the Risk of Stroke and MI

At the 2015 ACR annual meeting in San Francisco, Len Calabrese, DO, of the Cleveland Clinic, gave a plenary session talk linking "shingles" infection to an increased risk of CVA (

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Can Gout and Rheumatoid Arthritis Coexist?

German investigators studied 100 RA patients with a uric acid > 6 mg/dl and assessed them for MSU crystal deposit with dual energy computed tomography (DECT) of both feet and hands.

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