Rheumatology Feature News
Many components of diet have been implicated as possible risk factors for RA, with varying degrees of evidence.
Recent research points to an association between the gut microbiome composition and various types of immune-mediated inflammatory arthritides.
A recent systematic review found that nurse-led care is effective, acceptable, and safe in patients with rheumatoid arthritis.
Chronic low back pain (LBP) defined as persistent or fluctuating musculoskeletal pain of lower back and lumbar spine lasting >3 months.
A 69-year-old man with no prior medical history presents over the course of several months with new-onset nonspecific joint pain and swelling without evidence of erosions.
An overview of porphyrias, lupus erythematosus, rosacea, drug-induced photosensitivity, polymorphous light eruption, and solar urticaria.
Early diagnosis and aggressive treatment are essential to mitigate the cascading events that lead to irreversible joint erosion in rheumatoid arthritis.
A thorough work-up can differentiate between primary and secondary forms, mitigating progression of a more severe underlying disease.
The use of gold therapy as an anticancer agent appears promising, as does its more common use as a DMARD.
Osteoarthritis is one of the most common problems encountered in primary care, and conservative treatment can improve patients' quality of life.
A number of therapeutic options exist for patients with psoriasis, including phototherapy and systemic and biologic agents.
A multidisciplinary approach to diagnosing and treating enteropathic spondyloarthritis (ESpA) is the best way to ensure a patient gets comprehensive care.
Updated American College of Rheumatology recommendations suggest using first-line DMARDs in combination with biologic agents and nonbiologic DMARDs to achieve therapeutic efficacy in rheumatoid arthritis treatment.
For patients with severe osteoarthritis, dangling their legs can help with intra-articular injections.
Needle aponeurotomy and collagenase Clostridium histolyticum are both viable options for treating patients with Dupuytren disease.
Methylsulfonylmethane may help treat osteoarthritis and may eventually create a way to detect melanoma.
A women presenting with eye pain and photo sensitivity was diagnosed with ankylosing spondylitis.
The risks of bee-venom therapy outweigh the potential benefits, and clinicians should discourage patients from this therapeutic method.
The benefits of CranioSacral Therapy may not outweigh the intensive training and medical costs associated with the treatment.
Due to the limited amount of high-quality human studies, craniosacral therapy should not be suggested as a first-line treatment.
A woman suffers cyclic pain after multiple abdominal and pelvic surgeries.
Selecting appropriate lab tests when evaluating persons with symptoms suggesting a rheumatic condition often requires a bit of detective work.
The most recent guidelines from the American College of Rheumatology include pharmacologic and nonpharmacologic therapy for hyperuricemia.
A girl with scoliosis returns to the clinic complaining of ankle pain.
This article highlights the differences in the pathophysiology and diagnostic criteria for OA and RA, and also describes current and potentially new treatment options for these conditions.
Are dual-energy x ray absorptiometry scans safe for patients taking anti-seizure medication?
Stinging nettle has been used to treat arthritis and other inflammatory conditions since the 10th century.
Vitamin D promotes absorption of calcium in the intestine and maintains adequate serum phosphate and calcium concentrations.
Is there a window of opportunity when surgical intervention is most successful for patient's with Parkinson disease?
The National Institutes of Health noted that there is enough scientific evidence of acupuncture's efficacy to warrant its use in certain clinical situations.
A growing body of evidence has linked the tart cherry to substantial anti-inflammatory benefits, including reduced arthritic and gout pain, and several cardiac benefits.
Could a patient's anterior thigh pain signify osteosarcoma?
Ongoing research and new developments hold promise for altering osteoarthritis and go beyond simply treating the symptoms.
Can vitamin D deficiency play a role in post-fracture pain?
Ruling out pes planus can help avoid unnecessary prescriptions and referrals.
Are there any studies that confirm effective calcium absorption when the patient is taking long-term proton pump inhibitors (PPIs) along with oral calcium?
Thanks to new prevention strategies and safer treatments, patients are surviving almost as long as their counterparts without lupus.
A patient presents to the emergency department complaining of pain that originated over the distal tip of the digit.
Which serologic measure of inflammation is the most cost-effective and reliable when monitoring inflammatory disease?
Rose hips are a mild, pleasant supplement that are safe for routine use. Providers may recommend this product as adjunctive therapy for a wide range of conditions or as a routine preventive regimen.
Tenderness over the hypothenar eminence, swelling and limited flexion also suggest fracture.
Cast saws can be terrifying for children. An orthopedic physician assistant shares a tip to help ease pediatric patient's fear.
A woman fractured her upper arm in a fall while exercising. A large osteolytic growth was discovered on x-ray.
How often should blood tests be repeated to rule out systemic lupus erythematosus (SLE) in a patient positive for discoid lupus erythematosus (DLE)?
A clinician offers a useful mnemonic device to help prevent falls in older patients.
Are there any common nutritional deficiencies associated with osteoarthritis (OA), rheumatoid arthritis (RA), and gout?
Willow bark contains the chemical salicin, which is the precursor to aspirin.The active salicin in white willow bark acts primarily as both an analgesic and an antipyretic. The actual mechanism of action of salicin is very similar to that of modern prescription medications in the cyclo-oxygenase-1 and 2 (COX-1, COX-2) pathways.
Medically, licorice traditionally has been used as a general anti-inflammatory, antitussive, GI soothant, and for respiratory support. The potential for antiviral activity and hepatocellular protection in cases of hepatitis C has also been discussed.
This painful disease greatly impacts the daily lives of those who suffer from it. Diagnosis, treatment, and lifestyle modification can ease long-term effects
Mild hypertrichosis and hyperpigmentation of the face were also noted, and plasma porphyrins were grossly elevated.
Be sure to consult guidelines from the National Osteoporosis Foundation for advice on optimizing calcium and vitamin D intake and reducing fall risk.
What are the side effects of fentanyl?
What is the mechanism of action of teriparatide, the new parathyroid hormone (PTH) analog being used for the treatment of osteoporosis?
The boy had no history of pain, rapid growth, or trauma-associated local or systemic abnormalities.
At what T-score and patient age does the benefit of bisphosphonate therapy outweigh the risk?
Seen primarily in individuals older than age 50 years, this inflammatory disorder is characterized by headache, jaw pain, and vision difficulties.
Falls can lead to hip fracture and head injury and can raise the risk of early death. Fortunately, this public-health problem is largely preventable.
What is the relevance of a cardiac C-reactive protein level in a patient with an underlying inflammatory condition, such as rheumatoid arthritis?
Nothing offered more than temporary relief for the aching, constant pain, which was unaccompanied by other symptoms.
Treat the acute pain of gout aggressively and early on in the flare.
Nurse commits to dedicating more time to free clinics.
Selenium is a stable trace-metal element that is found in such cruciferous foods as broccoli, garlic, and onions, as well as in meats, seafood, and nuts. In the human body, selenium is essential for protein synthesis and multiple enzymatic functions.
When is it appropriate to refer patients to a pain clinic?
What is the best way to differentiate between a patient who has legitimate back pain and someone who is looking for a drug prescription or workers' compensation?
Four weeks after the accident, the patient was still in severe pain and reported urinary frequency.
What role does glucosamine and chondroitin play in elevating LDL?
Should all patients with fibromyalgia undergo sleep studies?
A physically fit young woman seeks medical care when she develops increasing dyspnea and signs of a circulatory disorder.
Your main challenge is to pinpoint the true cause and limit invasive interventions. A leading rheumatologist tells how to achieve these goals.
Two aging men develop similar-appearing asymptomatic facial plaques.
The various clinical presentations of this painful form of arthritis result from tissue deposition of monosodium urate crystals.
Not all knee complaints require orthopedic referral. This review of basic testing and exam techniques will help you arrive at an accurate diagnosis.
A UTI triggers complications in a patient with two forms of arthritis.
Two elderly men present with painful red rashes on their feet and lower leg. One patient had a history of gout, the other essential thrombocytosis.
While research into specific cause-and-effect relationships continues, there are still plenty of reasons to encourage patients to take care of their mouth.
For moderate-to-severe secondary or idiopathic knee osteoarthritis, the addition of arthroscopic surgery appears no more effective than optimized physical and medical therapy alone.
This common, painful form of arthritis is caused by a buildup of excess uric acid in the blood. Our expert takes you from diagnosis to treatment.
Education, self-management, and pharmacologic as well as nonpharmacologic therapies take center stage in this latest, jointly issued guideline.
Clinicians may be able to help patients with chronic back pain overcome discomfort by employing a self-care program known as the Alexander technique...
We are treating a patient who is currently on infliximab (Remicade) and methotrexate for severe Crohn's disease and rheumatoid arthritis. Because of severe joint pain, she would like to have her...
A short course of a corticosteroid could supplant nonsteroidal anti-inflammatory drugs (NSAIDs) as the medication of choice for...
Adding etanercept (Enbrel) to methotrexate therapy for early rheumatoid arthritis (RA) resulted in...
What is the most effective treatment for polyarthritis in a patient with...
Indomethacin is harder on the stomach than most other nonsteroidal anti-inflammatory drugs.
Her discomfort could have been from inevitable arthritis, but there were signs of a different diagnosis.
A useful clinical pearl to help spot the drug-seeking patient with low back pain.
The patient began to lose hope after a canyon hike re-aggravated her low back pan and leg numbness.
Current studies have focused on these patches as adjunctive therapy to more traditional modes of treatment.
Studies have determined which patients would benefit from spine surgery and which ones would not.
The patient is concerned about skin and other cancers due to excessive exposure to the warmth.
Which is safest—indomethacin or colchicine?