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Treat-to-Target Strategy Evaluated for Fibromyalgia Care

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Treat-to-target is a widely used approach for rheumatoid arthritis, in which rheumatologists prescribe treatments to reach established benchmarks of disease activity.1 Is it time for a similar approach for fibro­myalgia treatment, even though its pathogenesis, disease-activity measures and treatment algorithms are less well understood? Three fibromyalgia researchers present their case in a new paper, “Treat-to-Target…

A CT scan of the chest showing multifocal ground-glass opacities, representative of hemorrhage, with numerous nodular interstitial opacities primarily within a peribronchovascular distribution.

Hemoptysis in a Young Indian Male

Payam Pourhassani, DO, MSc, Sneha Patel, MD, & Arundathi Jayatilleke, MD  |  

A 22-year-old Indian male presented to the emergency department with hemoptysis. A month prior, he had presented to an urgent care center complaining of cough with occasional episodes of blood-tinged sputum in the morning. He was diagnosed with community-acquired pneumonia based on a chest X-ray without laboratory testing and was prescribed levofloxacin. A few days…

Acupuncture & Electrotherapy May Help Patients after Total Knee Arthroplasty

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A new review examined how drug-free interventions affect pain relief and analgesic consumption for patients who have had knee surgery. Although little evidence shows these treatments reduce actual pain, electrotherapy and acupuncture may help patients delay their postoperative use of opioids…

Abatacept Approved for Psoriatic Arthritis in Adults; Sirukumab Approval Stalls

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Abatacept Approved for Adult PsA On June 30, the U.S. Food and Drug Administration (FDA) approved abatacept (Orencia) to treat adults with active psoriatic arthritis (PsA).1 Abatacept is available as both an intravenous formulation and a subcutaneous injection.2 The approval was based on results of two randomized, double-blind, placebo-controlled trials, PsA-I and PsA-II, during which…

Predictive Value of Imaging Studied for Calcium Crystal Deposition in Rheumatic Diseases

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MADRID—Calcification in osteoarthritis (OA) involves a series of pathways and interactions that feed off each other in a process that bears some resemblance to the transformation of cartilage to bone that takes place in the embryonic stage of human development, a researcher said here at the 2017 Annual European Congress on Rheumatology (EULAR). “My hypothesis…

ARHP Stands Up for Members and Patients

Jan Stevens, BA, & Afton L. Hassett, PsyD  |  

Editor’s note: The new Pillar Talk column is developed by the ARHP Executive Committee in an effort to share information about ongoing activities related to our four pillars: Education, Practice, Research and Advocacy. ARHP volunteers are actively involved in the ACR’s efforts to advocate for the care of our patients and the rheumatology professionals who…

Rheumatology Coding Corner Question: New Patient Prolonged Service Without Direct Patient Contact, Part 1

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A 67-year-old female patient from New York with a long history of fatigue, joint and muscle pain, rash and fevers is scheduled to see the rheumatologist in five days. She is referred to the rheumatologist by her primary care physician (PCP) for possible diagnosis of lupus erythematosus. The patient requested her medical records from her…

Rheumatology Research Foundation Hosts 10th Annual Investigators’ Meeting in St. Louis

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The Rheumatology Research Foundation hosted the 10th Annual Investigators’ Meeting in St. Louis, June 24–25. The meeting provides Foundation-funded investigators an opportunity to learn about recent findings and research projects, network, exchange ideas and collaborate on future projects. More than 30 rheumatology professionals were in attendance, with presentations from 21 investigators. James O’Dell, MD, professor…

Demand for Revision Total Knee Arthroplasty Is on the Rise

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In the next five to 10 years, the frequency of revision total knee arthroplasty is expected to grow 600%, due to the rise in obesity in the U.S. population and increase in primary knee replacement surgeries. Physicians can use different tools to help decrease the risk of premature implant failure and improve patient outcome…