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How to Recognize, Diagnose Periodic Fever Syndromes in Adults

Rick Brasington, MD  |  December 18, 2017

A number of autoinflammatory syndromes that result from genetic mutations have been described recently. The vast majority occur in children. However, three periodic fever syndromes are important for rheumatologists who treat adults to know about. The goal of this review is to provide a concise description of each condition, and to help the clinician understand…

Filed under:ConditionsOther Rheumatic ConditionsPediatric Conditions Tagged with:adult Still's DiseasearthralgiasArthritisASDautoinflammatoryClinicalDiagnosisFamilial Mediterranean feverfevergenetic mutationoutcomepatient carePediatricreceptor-associated periodic syndromerheumatologistrheumatologyTRAPSTreatment

Fellows’ Forum Case Report: Necrotizing Autoimmune Myopathy

Shivani Garg, MD, Suzana Alex John, MD, & Frehiywot Ayele, MD  |  December 18, 2017

Necrotizing autoimmune myopathy (NAM) is a relatively recently discovered subgroup of inflammatory myopathies. NAM is characterized by predominant muscle fiber necrosis and regeneration with little or no inflammation.1 One subgroup of NAM is 3-hydroxy-3-methylglutaryl-CoA reductase antibody (HMGCR Ab)-related immune-mediated necrotizing myopathy (IMNM), which occurs (rarely) after statin exposure, with a rough incidence of two per…

Filed under:Other Rheumatic ConditionsResearch Rheum Tagged with:Autoimmunecase reportClinicalDiagnosisfellowFellowsFellows ForumHMGCR Ab-related IMNMimmune-mediated necrotizing myopathyinflammatory myopathymorbiditymortalitymuscle weaknessmyalgianecrotizingpatient careResearchrespiratoryrheumatologistrheumatologyStatinstatin-associated myopathy

E6011 Safe & Well Tolerated in RA Patients

Michele B. Kaufman, PharmD, BCGP  |  December 18, 2017

E6011, an anti-fractalkine monoclonal antibody, proved promising for the treatment of rheumatoid arthritis during a 52-week clinical trial…

Filed under:Biologics/DMARDsDrug Updates Tagged with:anti-fractalkine monoclonal antibodyE6011Rheumatoid Arthritis (RA)

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Experts Discuss Rheumatologists’ Role in Treating Depression, Anxiety and Psychological Comorbidities in Their Patients

Larry Beresford  |  December 17, 2017

All rheumatologists have observed the impact of their patients’ mental health status on the long-term treatment of rheumatologic conditions. Depression, anxiety and even loneliness can lead to poor clinical outcomes and nonadherence to treatment, whether the patient is following medication regimens or participating in regular exercise. On the other hand, a patient’s resilience and positive…

Filed under:ConditionsPain SyndromesPractice Support Tagged with:anxiety disordersbehaviorcognitivecomorbiditiesDepressionfatigueFibromyalgiaLupusManagementMental Healthpatient carepsychologicalquality of lifeRARheumatoid arthritisrheumatologic conditionsrheumatologistrheumatologySLEtherapyTreatment

2017 ACR/ARHP Award Winners Advance Rheumatology, Part 1

Richard Quinn  |  December 17, 2017

SAN DIEGO—At the 2017 ACR/ARHP Annual Meeting in San Diego last month, the ACR and the ARHP honored a group of distinguished individuals who have made significant contributions to rheumatology research, education and patient care. This month, The Rheumatologist speaks with the ACR winners about their individual contributions to advancing rheumatology. In coming issues, we…

Filed under:AwardsCareer DevelopmentMeeting ReportsProfessional Topics Tagged with:AC&RACR MastersACR/ARHP Annual MeetingAmerican College of Rheumatology (ACR)Association of Rheumatology Professionals (ARP)AwardsDistinguished Clinical InvestigatorfellowshipHenry Kunkel Young Investigator AwardhonorsinvestigatorPaulding Phelps AwardPresidential Gold Medalwinners

New Classification Criteria for SLE: Proposed ACR/EULAR Criteria aim for high sensitivity & specificity

Susan Bernstein  |  December 15, 2017

SAN DIEGO—The proposed classification criteria for systemic lupus erythematosus (SLE), supported but not yet approved by the ACR and EULAR, were debuted on Nov. 7 at the 2017 ACR/ARHP Annual Meeting. An international steering committee developed and validated the criteria, with patient input and the consensus of more than 150 global SLE experts. Rheumatology researchers…

Filed under:ConditionsSystemic Lupus Erythematosus Tagged with:2017 ACR/ARHP Annual MeetingACR/ARHP Annual MeetingcriteriaSLEsystemic lupus erythematosus (SLE)

Tocilizumab Monotherapy May Sustain Low Disease Activity in RA Patients

Michele B. Kaufman, PharmD, BCGP  |  December 15, 2017

New research demonstrates that subcutaneous tocilizumab monotherapy may preserve disease control in RA patients who have discontinued methotrexate…

Filed under:Drug Updates Tagged with:MethotrexatemonotherapyRheumatoid Arthritis (RA)tocilizumab

With No Deal on Children’s Health Plan, U.S. States Scramble for Plan B

Jilian Mincer and Yasmeen Abutaleb  |  December 14, 2017

NEW YORK/WASHINGTON (Reuters)—For Nancy Minoui of Portland, Oregon, and Crystal Lett of Dublin, Ohio, Congress’ failure to fund the Children’s Health Insurance Program is not some distant tale of political wrangling. For Minoui, it’s about how to provide care for her daughter, Marion Burgess, born last Valentine’s Day with a hole in her heart. For…

Filed under:Legislation & Advocacy Tagged with:Children's Health Insurance Program (CHIP)five-year CHIP funding extensionlow-income children

Social Media May Help Chronically Ill Connect to Doctors, Fellow Patients

Mary Gillis  |  December 14, 2017

(Reuters Health)—Social media groups that bring together patients, family, friends and healthcare providers can improve patients’ outlook and reduce their anxiety and depression, a recent U.S. study suggests. In a nine-month experiment with liver-transplant patients, researchers found that participants came to rely heavily on a closed Facebook group, both for information about their condition and…

Filed under:Practice SupportTechnology Tagged with:anxiety reductiondepression reductionFacebookonline community supportSocial MediaTwitter

CMS Finalizes Changes in CY 2018 for Musculoskeletal Ultrasound

From the College  |  December 13, 2017

We previously alerted you to a CMS-proposed change that would cut reimbursement for the complete diagnostic musculoskeletal ultrasound (MSUS) significantly. We are pleased to report that, in its final rule, the CMS reversed that decision, and providers will see a reasonable reimbursement for the exam. The ACR advocated on your behalf for this change through…

Filed under:Billing/CodingFrom the CollegePractice Support Tagged with:Musculoskeletal Ultrasound

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