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An official publication of the ACR and the ARP serving rheumatologists and rheumatology professionals

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Rheumatologist, Jazz Guitarist Dr. Alan Schenk Connects with Patients, Colleagues by Playing Music

Linda Childers  |  October 10, 2016

It’s not uncommon for a new patient to arrive at the medical offices of Alan Schenk, MD, in Laguna Woods, Calif., and immediately ask him about his musical career. In addition to being a board-certified rheumatologist for the past 32 years, Dr. Schenk is also an accomplished acoustic jazz guitarist and mandolin player. Music First “I…

New Large-Vessel Vasculitis Therapies Emerge, but Better Options Still Needed

Thomas R. Collins  |  October 10, 2016

LONDON—New therapies are emerging for the two main forms of large-vessel vasculitis, giant cell arteritis (GCA) and Takayasu’s arteritis—particularly biologic therapies. But for just about every available treatment gap, drawbacks or limited evidence remain, with the results needing to be borne out in larger trials, an expert said at the Annual Congress of the European…

As Role of Kinase Inhibitors in Rheumatic Disease Treatment Expands, Experts Review Therapy’s Failures, Successes

Thomas R. Collins  |  October 10, 2016

LONDON—Kinase inhibitors’ profile in the world of rheumatic disease therapy is growing, and they are probably going to play an even larger and more central role as time goes on, experts said at the Annual Congress of the European League Against Rheumatism (EULAR) 2016. But Gary S. Firestein, MD, director of the Clinical and Translational…

Management of Psoriatic Arthritis, Treatment of Axial Spondyloarthritis Addressed at EULAR 2016

Thomas R. Collins  |  October 10, 2016

LONDON—Rheumatologists need to make the management of psoriatic arthritis (PsA) “a little more complex,” treating different tissues individually and doing more to help treat and prevent co-morbidities, an expert said here at the Annual Congress of the European League Against Rheumatism (EULAR) 2016. Iain McInnes, MD, PhD, director of the Research Institute for Infection, Immunity…

Preclinical Phases of Rheumatoid Arthritis Better Understood

Thomas R. Collins  |  October 10, 2016

LONDON—Research continues to advance in understanding the causes, prediction and management of the stages of early arthritis before full-blown clinical disease, and an expert highlighted some of the latest of these encouraging findings at the Annual Congress of the European League Against Rheumatism (EULAR) 2016. Many of the genetic and environmental risk factors are known,…

Plasma Cells, Synovial Compartment Implicated in Tenacity of Rheumatoid Arthritis

Thomas R. Collins  |  October 10, 2016

LONDON—New research shows that the synovial compartment appears to have a special role in the chronic nature of rheumatoid arthritis (RA), providing refuge for plasma cells and giving them an ideal environment in which to produce antibodies against citrullinated protein antigens (ACPA). The findings were presented at the Annual Congress of the European League Against…

Racial Bias Found in Pain Assessment, Management, Treatment Recommendations by Clinicians

Mary Beth Nierengarten  |  October 10, 2016

In the world of evidence-based medicine, basing diagnosis and treatment decisions on belief instead of data seems anachronistic. And yet … clinicians are human, and humans live in culture, and culture is formed by beliefs, and beliefs (consciously or unconsciously) drive perception and, often, action. So a new study shining a light on racial bias…

Is Fibromyalgia Overdiagnosed?

Susan Bernstein  |  October 10, 2016

Are too many patients diagnosed with fibromyalgia? The co-authors of one new study believe that close to 75% of patients who have received a clinical fibromyalgia diagnosis do not meet the 2010 Preliminary American College of Rheumatology (ACR) Criteria for Fibromyalgia.1 They say these patients are false-positive and may be taking treatments they don’t need….

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Evidence Needed to Support Marijuana Use for Pain Relief in Rheumatologic Conditions

Vanessa Caceres  |  October 10, 2016

With the chronic pain and other health issues that many rheumatology patients face every day, it’s natural for rheumatologists and their patients to wonder if cannabinoid treatments are of any help. At this point, there is insufficient evidence to recommend cannabinoid treatments to manage rheumatic diseases, according to a review article published in the May…

Rheumatologist Dr. Richard Meehan Discusses Tour of Medical Duty in Gulf War, Iraq War

Carol Patton  |  October 10, 2016

Richard Meehan, MD, can still hear the distinctive sound of footsteps that would travel along a gravel path toward his wooden hut in the middle of the night in Iraq. “I’d hear somebody walk from the command post, either toward my hut or the operations officer who slept in the hut next to mine,” says…

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