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

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Search results for: physical function

Eosinophilic Gastroenteritis & Eosinophilic Ascites Associated with RA

Helen Lyo, Eugene Han, MD, Shivakumar Vignesh, MD, & Nancy Soloman, MD  |  June 17, 2019

Eosinophilic gastroenteritis (EGE) is a rare condition caused by eosinophilic infiltration of the gastrointestinal (GI) tract. The condition is subdivided into the GI layers it affects: mucosal, muscular and subserosal.1 EGE usually presents with non-specific GI symptoms, such as impaired motility, intestinal obstruction and, rarely, ascites.2 Below, we report a rare case of EGE leading…

Filed under:ConditionsRheumatoid Arthritis Tagged with:Eosinophilic AscitesEosinophilic Gastroenteritis

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Case Report: Sjögren’s Syndrome Plus Neuromyelitis Optica Spectrum Disorder

Swosti Roka Magar, MD, Gita Verma, MD, & Aaroop Haridas, MD   |  June 17, 2019

Sjögren’s syndrome is a chronic multi-system autoimmune disease characterized by inflammation and subsequent destruction of exocrine glands. Sjögren’s syndrome can present with glandular or extra-glandular manifestations. Neuromyelitis optica spectrum disorder (NMOSD) is a rare central nervous system (CNS) autoimmune disease that can present as the initial manifestation in less than 5% of patients with Sjögren’s….

Filed under:ConditionsOther Rheumatic ConditionsSjögren’s Disease Tagged with:immunosuppressive drugsMultiple Sclerosisneuromyelitis optica spectrum disorder (NMOSD)Sjogren's

Predictors of RA Flare After Total Joint Arthroplasty

Carina Stanton  |  May 20, 2019

At the time of total joint arthroplasty, RA disease activity has been shown to better predict postoperative flare than medication management…

Filed under:ConditionsRheumatoid Arthritis Tagged with:flarehipJoint SurgerykneeRA flaresRheumatoid Arthritis (RA)total hip arthroplastytotal knee arthroplasty

How to Address the Rheumatology Workforce Gap

Paul H. Caldron, DO, PhD, MBA, FACP, FACR  |  May 17, 2019

The College’s principal journals have been telling the tale of workforce woe, exploring the reasons for our predicament and potential solutions for the long and short term.1,2 Among the medium-term remedies is increased use of advanced practice clinicians (APCs), as we collectively refer to nurse practitioners and physician assistants in rheumatology practices. Solutions Estimates of…

Filed under:Practice SupportSpeak Out RheumWorkforce Tagged with:Advanced Practice Cliniciansnurse practitionerphysician assistantsSpeak Out Rheumatologyturnoverworkforce shortage

Shared Decision Making, Good Disease Control Are Key Components of JIA Management

Kelly Tyrrell  |  May 15, 2019

A group led by Sarah Ringold, MD, MS, assistant professor of rheumatology at Seattle Children’s Hospital, has developed a new guideline intended to provide recommendations for the treatment and monitoring of children with juvenile idiopathic arthritis (JIA) manifesting as non-systemic polyarthritis, sacroiliitis or enthesitis.1,2 Key Updates The new recommendations appear in both Arthritis & Rheumatology…

Filed under:Clinical Criteria/Guidelines Tagged with:Enthesitisjuvenile idiopathic arthritis (JIA)polyarthritissacroiliitisSarah Ringold

Summit on Connective Tissue Disease-Associated ILD Fosters Interdisciplinary Dialogue

Renée Bacher  |  May 6, 2019

During an international summit, physicians and researchers discussed the key clinical and research aspects of the complex intersection between connective tissue diseases and interstitial lung disease (ILD), proposing initiatives to raise awareness and conduct research to better serve patients with autoimmune forms of ILD…

Filed under:Conditions

Ethics Forum: Patient Safety at Home—What Are Our Legal & Ethical Responsibilities?

Sarah F. Keller, MD, & Marcy B. Bolster, MD  |  April 15, 2019

A 60-year-old woman with a six-month history of retroperitoneal fibrosis transfers her care to you. She initially presented with severe bilateral flank pain radiating to the abdomen and chest. A computerized tomography (CT) angiogram of the abdomen demonstrated an infrarenal abdominal aortic aneurysm surrounded by a thick inflammatory rind entangling the left renal vein and…

Filed under:EthicsLegal Updates Tagged with:abuseEthics Forumpatient safetyreporting

Tips for Interdisciplinary Pain Management in Older Patients

Susan Bernstein  |  April 15, 2019

CHICAGO—Rheumatology healthcare providers should embrace collaborative approaches to manage chronic musculoskeletal pain in older adult patients, including models of care that involve multiple providers, patients and their caregivers. That was the message delivered by two speakers in the Interdisciplinary Management of Chronic Musculo­skeletal Pain in Older Adults session at the 2018 ACR/ARHP Annual Meeting. “As…

Filed under:AnalgesicsConditions Tagged with:2018 ACR/ARHP Annual MeetingbiopsychosocialcollaborationExerciseinterdisciplinaryPain Managementstepped care

Galectin-3 May Be a Biomarker for Cardiovascular Disease in RA

Carina Stanton  |  March 25, 2019

Galectin-3 may have potential as a biomarker for the early onset of cardiovascular disease in RA patients, potentially enabling early intervention and deferring the cardiovascular risks associated with RA…

Filed under:ConditionsRheumatoid Arthritis Tagged with:cardiovascularCardiovascular diseasegalectin‐3Rheumatoid Arthritis (RA)risk

Osteoporosis Experts Discuss Bisphosphonates, Chronic Kidney Disease

Lara C. Pullen, PhD  |  March 19, 2019

CHICAGO—The osteoporosis session at the 2018 ACR/ARHP Annual Meeting opened with a discussion by Kenneth Saag, MD, MSc, professor of medicine at the University of Alabama, Birmingham, in which he highlighted adverse events associated with osteoporosis medications. Dr. Saag began his presentation by emphasizing that, above all, the audience should keep in mind that the…

Filed under:ConditionsMeeting ReportsOsteoarthritis and Bone Disorders Tagged with:2018 ACR/ARHP Annual MeetingAssociation of Rheumatology Professionals (ARP)bisphosphonateschronic kidney diseaseOsteoporosis

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