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Stay the Course: How to Maintain Remission in Vasculitis

Jason Liebowitz, MD, FACR  |  September 9, 2019

MADRID—During the 2019 European Congress of Rheumatology (EULAR), held June 12–15, speakers addressed the complexity of vasculitis in a Challenges in Clinical Practice session titled, How to Maintain Remission in Vasculitis. Although vasculitis appears in many varieties, one commonality exists among these related yet distinct conditions: When there is vital organ or systemic involvement, disease…

Filed under:ConditionsEULAR/OtherMeeting ReportsVasculitis Tagged with:EULARgiant cell arteritis (GCA)RemissionrituximabVasculitis

S K Chavan / shutterstock.com

Case Report: A Patient Helps Diagnose Familial Mediterranean Fever

Taylor Faulk, MD, & Matthew B. Carroll, MD  |  August 16, 2019

Autoinflammatory diseases are genetically diverse, but clinically similar, conditions distinct from autoimmune illnesses, such as systemic lupus erythematosus or rheumatoid arthritis. Clinically, they are defined by recurrent episodes of inflammation that follow a characteristic pattern each time they occur. Some have a set length of time during which fever, peritonitis or arthritis manifest. Others are…

Filed under:Conditions Tagged with:Familial Mediterranean fever

This chest CT shows new left upper lobe groundglass opacity.

Case Report: Could Myocarditis + Shortness of Breath = EGPA?

Ambreesh Chawla, MD, Ashwini Komarla, MD, & Sujatha Vuyyuru, MD  |  August 16, 2019

Eosinophilic granulomatosis with polyangiitis (EGPA), also known as Churg-Strauss syndrome or allergic granulomatosis and angiitis, is a rare small- and medium-vessel vasculitis. This disease was first described by American pathologists Jacob Churg and Lotte Strauss in 1951.1 Although the vasculitis is often not apparent in the initial phases of the disease, EGPA can affect any…

Filed under:Conditions Tagged with:eosinophilic granulomatosis with polyangiitis (EGPA)myocarditis

Rheumatology Drugs at a Glance, Part 3: Rheumatoid Arthritis

Mary Choy, PharmD, BCGP, FASHP  |  August 16, 2019

Over the past few years, bio­similars and other new drugs have been introduced to treat rheumatic illnesses. Some of the conditions we treat have numerous drug options, others have few or only off-label options. This series, “Rheumatology Drugs at a Glance,” provides streamlined information on the administration of biologic, biosimilar and small molecule inhibitor drugs…

Filed under:ConditionsDrug UpdatesRheumatoid Arthritis Tagged with:abataceptadalimumabanakinrabaricitinibCertolizumab PegoletanerceptGolimumabinfliximabrituximabsarilumabtocilizumabTofacitinib

CMS 2020 Quality Payment Program Proposed Rule Contains Key Changes to MIPS Reporting

From the College  |  August 16, 2019

The CMS 2020 Proposed Rule for the Quality Payment Program, released July 29, contains several key changes relevant to MIPS-eligible clinicians.

Filed under:From the CollegePractice SupportQuality Assurance/Improvement Tagged with:Centers for Medicare & Medicaid Services (CMS)MIPSQuality Payment Program

This CT scan demonstrates a mass causing partial occlusion of the esophagus.

Case Report: An Adult-Onset Still’s Disease Mimic

Theodore Korty, DO, Ken Baxa, DO, Kiren Sahni, DO, Adam Grunbaum, DO, & Maria Soto-Aguilar, MD  |  July 18, 2019

A 53-year-old man was hospitalized for pericarditis, abdominal lymphadenopathy of unknown origin and non-bloody diarrhea. He was admitted for four days, and then he was discharged home without incident. Two months after his initial presentation, he was readmitted for the evaluation of several new issues, including symmetric arthralgias, hypovolemia with associated electrolyte abnormalities and concurrent…

Filed under:ConditionsOther Rheumatic Conditions Tagged with:adenocarcinomaadult Still's DiseasearthralgiasCancerlymphomaparaneoplastic syndrome

CMS 2018 MIPS Performance Feedback, Final Score & Targeted Review Now Available

From the College  |  July 17, 2019

Your 2018 MIPS performance feedback and final score from the CMS are now available on the Quality Payment Program website. To learn more about performance feedback, view the frequently asked questions document from the CMS. The payment adjustment you will receive in 2020 is based on your score for the 2018 performance year. If you…

Filed under:Billing/CodingPractice Support Tagged with:Centers for Medicare & Medicaid Services (CMS)targeted review

From Climbing Walls to In the Rheum: What’s New at the 2019 Annual Meeting?

From the College  |  June 26, 2019

This year, the Annual Meeting Planning Committee has designed an engaging program, bringing together the best experts to address important topics. Here’s a sneak peek at what’s new…

Filed under:Uncategorized Tagged with:2019 ACR/ARP Annual MeetingburnoutMeeting

What Physical & Occupational Therapists Wish Rheumatologists Knew

Linda Childers  |  June 17, 2019

Kim Steinbarger, PT, MHS, knows how physical and occupational therapy can make a difference for patients with rheumatic diseases. Ms. Steinbarger was just two years into her career as a physical therapist (PT) when she was diagnosed with rheumatoid arthritis (RA) in 1991. “I’ve seen how regular exercise serves as an important tool in managing…

Filed under:ConditionsPractice Support Tagged with:Association of Rheumatology Professionals (ARP)Occupational TherapyPhysical Therapy

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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