Although initially given as replacement therapy for patients with primary and secondary immunodeficiency states, intravenous immunoglobulin (IVIg) has proven to be effective in the treatment of various autoimmune and inflammatory disorders. This success has led to a dramatic increase in the use of IVIg, with its use as an antiinflammatory agent now vastly surpassing its use in the treatment of immunodeficiencies. Even so, the basis for the antiinflammatory activity of IVIg remains unclear.
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Pain is a Tricky Thing to Treat, or Even Evaluate
Rheumatology is such a gratifying and emotionally rewarding medical specialty. There is no better feeling than helping patients with conditions whose proper diagnosis and management have eluded other practitioners. A patient with diffuse idiopathic skeletal hyperostosis (DISH) presents with pain, and a major clinical tenet of DISH has been its lack of association with pain.
Dermatology Case Review
A 64-year-old man with history of type-II diabetes (well controlled on sitagliptin/metformin), hypertension, and dyslipidemia presents with complaints of an increasingly painful left lower-extremity lesion present for two to three months.
Dermatology Case Answer
A 64-year-old man with history of type-II diabetes (well controlled on sitagliptin/metformin), hypertension, and dyslipidemia presents with complaints of an increasingly painful left lower-extremity lesion present for two to three months.
A Comparison of the Canadian and U.S. Healthcare Systems
The joys and the hazards of the Canadian single-payer universal healthcare program Canadian and the high-capacity and costly U.S. healthcare system.
The Science of MDHAQ/RAPID3 Scores
Do patient self-reports provide valid data for evidence-based care in rheumatology practice?
What You Need to Know about ACOs
Rheumatologists may need to speak up to get a place in these new healthcare groups
Skilled Support for Patients and Practices
Rheumatology nurse practitioners can expand capacity in busy rheumatology offices
Office Visit
Epidemiology makes a career of studying arthritis health disparities for Leigh Callahan, PhD
Rheum Around the World
ACR Members Help Educate Rheumatologists Around the World
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