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Search results for: pediatric

Case Report: Complicated Presentation Eventually Explained by Rare Syndrome

Geoffrey E. Thiele, MD, & Iris Reyhan, MD  |  April 10, 2024

Pachydermoperiostosis (PDP), also known as Touraine-Solente-GolĂ© syndrome or primary hypertrophic osteoarthropathy, is a rare syndrome that can be inherited as autosomal dominant, autosomal recessive, or sporadically. This progressive disease primarily affects males, who tend to have more severe features than females. PDP usually occurs during adolescence, often starting around puberty.1 The main clinical features are…

Filed under:ConditionsOther Rheumatic Conditions Tagged with:case reportCrohn's diseasePachydermoperiostosisprimary hypertrophic osteoarthropathyTouraine-Solente- Golé syndrome

The Biases We Don’t Know We Hold

Vanessa Caceres  |  March 26, 2024

Implicit bias can affect patient care at the physician level when they’re making treatment decisions and at the healthcare organization level when they’re choosing new hires. Here are insights into strategies rheumatologists can use to become aware of, and question, their implicit biases.

Filed under:OpinionPractice SupportWorkforce Tagged with:biasdiscriminationEquityinclusion

Mental Health in Rheumatology

Vanessa Caceres  |  March 26, 2024

Regaining a sense of control, limiting responsibilities and engaging in mindfulness can help rheumatologists manage their mental health needs. Rheumatologists should also address the mental health concerns raised by their patients. Here are insights from a psychiatrist/rheumatologist.

Filed under:ConditionsOther Rheumatic Conditions Tagged with:burnoutMental Health

When to Check Drug Levels & Why

Stephen J. Balevic, MD, PhD, RhMSUS  |  March 7, 2024

Checking blood levels of commonly used disease-modifying anti-rheumatic drugs (DMARDs) has gained widespread attention in the rheumatology community, even resulting in a recent guidance document from EULAR for biologics.1 Although a highly useful tool, drug level measurement in rheumatology is not without challenges; many of our drugs violate the basic principles of pharmacology that we…

Filed under:Biologics/DMARDsConditionsDrug UpdatesRheumatoid ArthritisSystemic Lupus Erythematosus Tagged with:adalimumabadherenceazathioprinedosagedosage adjustmentdrug levelsetanerceptHYDROXYCHLOROQUINEinfliximabmycophenoloateSLE Resource Centertherapeutic drug monitoring

Reflecting on B Cell-Depleting Therapies & COVID-19

Vanessa Caceres  |  March 6, 2024

In the early days of the COVID-19 pandemic, confusion and concern for immunosuppressed patients grew among rheumatologists and patients alike. Research has helped bridge the knowledge gap, and treatment options for COVID-19 have helped ease concerns.

Filed under:ConditionsDrug Updates Tagged with:COVID-19

Noelle Rolle, MBBS, Begins New Term as Chair of Collaborative Initiatives Committee

Gretchen Henkel  |  February 15, 2024

Throughout her medical training, Noelle A. Rolle, MBBS, encountered many patients struggling with both rheumatic disease and issues of health equity and access to care. This drew her to rheumatology and, now, to lead the ACR’s Collaborative Initiatives Committee.

Filed under:Professional TopicsProfiles Tagged with:Collaborative Initiatives Committee (COIN)Diversity

Beyond the Rheumatologist: Interprofessional Alliances Are Crucial to Rheumatic Care

Thomas R. Collins  |  February 14, 2024

How can we ensure patients are receiving care that addresses all of the ways rheumatic disease affects their life? In this ACR Convergence 2023 session, experts discuss the value of a strong interprofessional care team.

Filed under:ACR ConvergenceInterprofessional PerspectiveMeeting ReportsProfessional Topics Tagged with:ACR Convergence 2023interprofessionalpatient caresocial worker

New Ways to Think about Polymyalgia Rheumatica

Bharat Kumar, MD, MME, FACP, FAAAAI, RhMSUS  |  January 29, 2024

As they usually are, the pediatrics are absolutely correct: A child is not just a little adult. The same can be said for the eldest among us: Senior citizens are more than just old adults; they have their own biopsychosocial considerations that we, as rheumatologists, must tend to. Among all the conditions that we find…

Filed under:ConditionsOpinionOther Rheumatic ConditionsRheuminations Tagged with:PMR FocusRheumPolymyalgia Rheumatica

Dare to Say No

Larry Beresford  |  January 22, 2024

Experts Whitney Marvin, MD, and Jinoos Yazdany, MD, discuss how to find synergy between work & career to better manage work/life conflicts and avoid burnout as rheumatologists.

Filed under:ACR ConvergenceCareerMeeting Reports Tagged with:ACR Convergence 2023burnoutphysician burnout

Management Updates for a Spectrum of Systemic Autoinflammatory Diseases

Ruth Jessen Hickman, MD  |  January 19, 2024

SAN DIEGO—As part of a panel on systemic autoinflammatory diseases (SAIDs) at a Nov. 15 scientific session of ACR Convergence 2023, Sivia Lapidus, MD, shared context and insights on the therapeutic management of patients with these conditions. The Spectrum of SAIDs SAIDs encompass a broad swath of individually rare disorders driven by innate immune responses…

Filed under:ACR ConvergenceConditionsMeeting ReportsOther Rheumatic Conditions Tagged with:ACR Convergence 2023CAPSCOVID-19Familial Mediterranean feverPFAPATRAPS

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