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Articles By Jack Cush, MD

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Long-Term Safety of Rituximab

Rituximab has been used for years with good efficacy, but with several safety concerns. Van Vollenhoven and colleagues have published the cumulative clinical trial safety experience of RTX wherein 3595 patients 1–20 (average - 4) courses over 11 years [14,816 patient-years (PY)].

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Rheumatologists are Not Always Aligned with 2012 ACR Gout Guidelines

A cross-sectional survey of 309 Brazilan rheumatologists was performed to assess their compliance with the 2012 ACR guidelines on gout.

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Alemtuzumab Effective in Behcet's Syndrome

Behcet's disease is difficult to treat and often has an over-reliance on corticosteroid use.  Alemtuzumab (previously known as Campath-1H) has been studed in patients with Behcet's.

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NSAIDs and the Risk of Inflammatory Bowel Disease

Your patient with Crohn’s or ulcerative colitis has a musculoskeletal problem that needs treatment. You consider a nonsteroidal anti-inflammatory drug, but are reminded that “NSAIDs are to be avoided as these drugs will worsen inflammatory bowel disease (IBD)”.

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Osteoarthritis Update August 2015

Different Phenotypes for Osteoarthritis of the Foot. Osteoarthritis is often characterized as either a symmetric polyarticular (often involving DIPs, PIPs and CMC1), asymmetric oligoarticular or monarticular (knee or hip OA), but OA may also affect the foot.

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Specialty Society Guidelines Must Evolve to Improve

The current JAMA issue examines the process and potential flaws of society clinical practice guidelines -a timely commentary as we await the 2015 ACR RA treatment guidelines first presented at the 2014 ACR meeting in Boston and slated for upcoming publication in Arthritis & Rheumatology

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Osteoporosis Affects One-Quarter US Women Over 65 Years

The CDC has released data from the NHANES (National Health and Nutrition Examination Survey) analysis of 2005-2010 data regarding the population frequency of osteoporosis and osteopenia.

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Hypothyroidism is Increased in Rheumatoid Arthritis Patients

In a study that compared seropositive (RF+, CCP+) and seronegative RA with healthy participants, the frequency of thyroid antibodies was assessed.

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Psoriasis Patients Satisfied with Biologics

A recent study published in the journal Patient Preference and Adherence examined insured patients from the Optum Research Database who had moderate to severe plaque psoriasis and queried them about their satisfaction with therapy.

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DSB: Managing Methotrexate Toxicity

Methotrexate was first introduced in 1955 for leukemia and in 1986 became FDA approved for the treatment of adults with severe, active, rheumatoid arthritis or children with active polyarticular-course juvenile RA.

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