NEWS FROM EULAR 2013  Rheumatology Network now features reports from the 2013 conference of the European Union League Against Rheumatism, currently in session in Madrid, Spain.
Look to presentations at EULAR for
• updated information about rheumatic disorders from large European registry trials, • news of results from extension trials of new biologics, and • pilot studies of experimental therapies and medications not available in the US that may ultimately be validated across the Atlantic and even approved by the FDA. You'll find continuing coverage from EULAR throughout the meeting in the Conferences tab above, along with our coverage of prior conferences. Or see the latest articles in the News box below.
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Prizewinning Insights Into the Future of Lupus Research
June 12, 2013
(AUDIO) Dr. Mark Shlomchik has won the first $200,000 Insight Prize for research that led toward new lupus drugs such as belimumab. In a brief recorded interview, hear how the award may help him find an explanation for the links between infection and lupus.
New Antivirals for Hepatitis C: Four Basic Facts
By Arun Jesudian MD
, June 4, 2013
A new era in hepatitis C treatment began in May 2011, with approval of telaprevir and boceprevir. They are effective only for some patients, but new and better options are well on their way to the clinic.
Photo Essay: Images of Hip Pain
May 31, 2013
Does the lupus patient have comorbid age-related osteoarthritis? Is it iliopsoas bursitis or trochanteric pain syndrome? Eight images with reflections on differential diagnosis of hip pain.
| Rheumatology Tip of the Day |  | All About Gout and Pseudogout: Meeting A Growing Challenge
Most patients with hyperuricemia do not go on to have gout, and it may be seen with any other cause of acute monoarthritis. On the other hand, serum uric acid levels may drop to normal values during an acute gout attack, due to an increase in renal excretion, so a normal value does not exclude this diagnosis. . ..
Learn More | | » See the entire Tip of the Day collection. | | Rheumatology Tip of the Day |  | Joint Aspiration and Injection: A Look at the Basics Cellulitis overlying a swollen joint is not a contraindication if it is the only portal for intra-articular access. The risk of introducing infection by aspirating through cellulitic skin is far less than the risk of unmanaged septic arthritis. . .. Learn More | | » See the entire Tip of the Day collection. | | Rheumatology Tip of the Day |  | Limited Joint Mobility in Diabetes Mellitus: The Clinical Implications Take care not to be overenthusiastic about the prayer-sign test for limited joint mobility, for instance in patients with diabetes. One study found that 26% of healthy controls were not able to make complete contact of the palmar surfaces. . .. Learn More | | » See the entire Tip of the Day collection. | | Rheumatology Tip of the Day |  | Understanding Allopurinol-Induced DRESS Syndrome Viral causes are implicated in potentially deadly A-DRESS SYNDROME (dermatitis, hepatitis, interstitial nephritis, and eosinophilia) among allopurinol users. Skin biopsy and a wide panel of viral titers are well advised. . .. Learn More | | » See the entire Tip of the Day collection. | | Rheumatology Tip of the Day |  | Latent Tuberculosis Infection in RA: The Disease and the Diagnosis Although tuberculosis is common in RA even in the absence of treatment, false-negative tuberculin skin test results are frequent because of either immunosuppressive treatment or a natural waning of immunity. . .. Learn More | | » See the entire Tip of the Day collection. | | Rheumatology Tip of the Day |  | Doomed Arthritic Knees Rotate More and Never Rest The quads and hamstrings of OA patients who later have knee replacement seem to be firing continuously, according to new biomechanics research. Training with the Alexander technique may offer relief. . .. Learn More | | » See the entire Tip of the Day collection. | | Rheumatology Tip of the Day |  | Lupus: The Role of the Primary Care Physician. Part 1: Diagnosis Lesser-known presenting symptoms of lupus: • Cognitive dysfunction (difficulty focusing, memory loss, and depression) • Headaches • Anemia • Pleurisy and/or pericarditis • Abnormal blood clotting • Seizures • Ulcers of the mouth and/or nose . .. Learn More | | » See the entire Tip of the Day collection. | | Rheumatology Tip of the Day |  | Recognizing and Managing Posterior Cruciate Ligament Injuries Gradually increasing mild pain in the back of the knee, stiffness, and pain with squatting or kneeling may be the only signs of PCL injury, arising long past the acute period after a seemingly trivial inciting event. . .. Learn More | | » See the entire Tip of the Day collection. | | Rheumatology Tip of the Day |  | Recognizing Rheumatologic Aspects of Cocaine Abuse Cocaine and its contaminants, primarily levamisole, can cause lesions of the earlobes and cheeks, midline granulomatous lesions, and a mimic of vasculitis. . .. Learn More | | » See the entire Tip of the Day collection. | | Rheumatology Tip of the Day |  | Is There Truly A Therapeutic "Window of Opportunity" in RA? Combined studies of more than 6,000 patients agree: To lessen joint damage and achieve remission, treat rheumatoid arthritis at least during the first 12 weeks after diagnosis.. . . Learn More | | » See the entire Tip of the Day collection. | | Rheumatology Tip of the Day |  | Eosinophilic Fasciitis: A Difficult Diagnosis Raynaud's phenomenon is usually absent from eosinophilic fasciitis, which may be difficult to differentiate from scleroderma. Nearly all scleroderma patients have Raynaud's, usually early on. . . Learn More | | » See the entire Tip of the Day collection. |
SubQ Abatacept for RA Comparable to IV Formulation
May 29, 2013
A review of five clinical trials shows that a new subcutaneous formulation of abatacept (Orencia) is as safe and effective short-term in rheumatoid arthritis (RA) as intravenous abatacept, maintaining improvements in clinical and functional efficacy over time.
New Options for Hepatitis C, Osteoporosis. One Less for Pain
May 20, 2013
New in the nonspecialty journals: A new option for patients with autoimmune disease and HCV infection. The value of combined therapy for osteoporosis. Prognosis predictors for chronic pain, a new opioid adverse effect, and more ...
No Evidence Backs Intra-articular Glucocorticoids for Acute Gout
May 15, 2013
They may be supported by guidelines and commonly used in practice, but joint injections with glucocorticoids for acute gout are not backed by any randomized controlled clinical trials, according to a new Cochrane report. However, the report backs away from saying they should not be used.
82-Year-Old Man With Bilateral Hip Pain
May 22, 2013
An 82-year-old man presented with longstanding bilateral hip pain but no history of trauma. (Why might you have expected him to arrive requiring care many years earlier?) The diagnosis in this image-rich case study is discussed by Dr. Bogner, a radiologist at Hospital for Special Surgery.
Pregnant Woman With Aching Pain, Muscle Fatigue, and Rash
May 1, 2013
A 39-year-old woman, in her eighth week of pregnancy, experienced aching pain that worsened with activity. Weakness and fatigue set in three days later in her thigh and proximal arm muscle. Then a mildly pruritic rash developed across the forehead, nose, and forearms.
Obese Woman With Fibromyalgia and Increasing Back Pain
April 11, 2013
An obese woman in her thirties with a history of fibromyalgia syndrome, depression, polycystic ovarian syndrome, and diabetes presents with midline back pain that has gradually worsened over the past week.
Woman With Sarcoidosis, Lymphoma, and Shoulder Pain
April 2, 2013
A 56-year-old woman presents with a history of intermittent shoulder pain for the past six months. Early signs point to bursitis, but the plot thickens: She also has sarcoidosis and lymphoma. How would you proceed?
Skin Eruption in Taiwanese Immigrant
March 6, 2013
A 44-year-old nonsmoking immigrant from Taiwan sought help from a dermatologist for this longstanding skin eruption, lately complicated by weight loss and fatigue.
 Diagnostic Champions’ Challenge on Musculoskeletal Network Designed to test the knowledge and medical diagnostic skills of physicians and other healthcare professionals, Musculoskeletal Network's Diagnostic Champions' Challenge was created to educate and entertain. Can you recognize and determine the appropriate treatment for a patient's malady quickly and correctly? Test your clinical knowledge and diagnostic skills by playing in previous rounds and see how your score matches up with other players! Read More»
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Roy D. Altman, MD Professor, Department of Rheumatology, Ronald Reagan UCLA Medical Center, Los Angeles
Marcy Bolster, MD Director, Rheumatology Fellowship Program, Massachusetts General Hospital; Lecturer, Harvard University Medical School, Boston
John S. Cowdery, MD Chief of Staff, VA Iowa City Health Care System; Professor of Rheumatology, University of Iowa Carver College of Medicine, Iowa City
Christopher E. Collins, MD Assistant Professor of Medicine, Georgetown University Medical Center and Program Director, Rheumatology Fellowship Program, Washington Hospital Center, Washington DC
Nancy E. Lane, MD Director and Endowed Professor Aging Center, Medicine and Rheumatology, University of California at Davis Medical Center, Sacramento
Stephen A. Paget, MD Joseph P. Routh Professor of Rheumatic Diseases in Medicine, Weill Medical College of Cornell University, New York; Former Chairman, Division of Rheumatology and Physician-in-Chief, Hospital for Special Surgery, New York
Previous articles from Musculoskeletal Network and the Journal of Musculoskeletal Medicine are available in the online archive. For previous articles on a particular topic, click the Search box at the upper right of the screen. You can optimize your search for either relevance or date.
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