Search results for "Rheumatoid arthritis"
Methotrexate intolerance common in patients with rheumatoid, psoriatic arthritis
Gastrointestinal symptoms are common in patients who are prescribed methotrexate for rheumatoid and psoriatic arthritis, in some cases even before they start taking the drug, according to a new study.
https://immattersacp.org/weekly/archives/2014/01/07/5.htm
7 Jan 2014
MKSAP Quiz: 3-month history of night sweats, weight loss, increasing cough
A 70-year-old man is evaluated for a 3-month history of night sweats, weight loss, and increasing cough. He is a retired miner, and his medical history is significant for a diagnosis of pulmonary silicosis made 15 years ago based on exposure history and characteristic chest radiographic findings. He is a lifelong nonsmoker. Following a physical exam and a chest radiograph that shows multiple small nodules that appear throughout all lung zones, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2013/12/10/3.htm
10 Dec 2013
MKSAP Quiz: 3-month history of hand pain
A 46-year-old woman is evaluated for a 3-month history of pain and swelling of the hands, dyspnea, and wheezing. She has no other pertinent personal or family medical history. She takes naproxen as needed for pain relief. Following a physical exam and laboratory studies, what is the most appropriate diagnostic test to perform next in this patient?.
https://immattersacp.org/archives/2013/09/mksap.htm
1 Sep 2013
Classified AdvertisingSeptember 2013 ACPINTERNIST 21 Answer and critiqueThe correct ...
This autoimmuneinflammatory disorder affects the cartilageof the ears and nose, and up to 50% ofpatients also have a rheumatoid arthritis–like polyarthritis. ... Rheumatoid factor is present in manypatients with rheumatoid arthritis, a disor-der that is not associated with destructivefacial lesions.
https://immattersacp.org/archives/2013/09/acpi-201309-puzzle_t2.pdf
21 Aug 2013
Novel drug plus DMARDs may improve control of rheumatoid arthritis
Tofacitinib improved disease control in patients with active rheumatoid arthritis despite treatment with nonbiologic disease-modifying, anti-rheumatic drugs (DMARDs) compared to placebo, a study found.
https://immattersacp.org/weekly/archives/2013/08/20/5.htm
20 Aug 2013
Biological compared with conventional treatment may not improve work loss in early rheumatoid arthritis
Infliximab improved radiologic results but did not result in less work loss compared with conventional combination therapy in patients with early rheumatoid arthritis who did not respond sufficiently to methotrexate, a new study reports.
https://immattersacp.org/weekly/archives/2013/07/09/6.htm
9 Jul 2013
DMARD triple therapy noninferior to, but less costly than, TNF inhibitor
In rheumatoid arthritis patients in whom first-line methotrexate therapy has failed, triple therapy with disease-modifying antirheumatic drugs (DMARDs) was noninferior to the tumor necrosis factor (TNF) inhibitor etanercept plus methotrexate, a study found.
https://immattersacp.org/weekly/archives/2013/06/18/2.htm
18 Jun 2013
How to start and stop bisphosphonates
A new online tool and a few simple rules can inform internists how to start bisphosphonates and when to consider taking a drug holiday at the request of another physician, a dentist or even the patient.
https://immattersacp.org/archives/2013/06/bisphosphonates.htm
1 Jun 2013
Early interventions overlooked in OA
Osteoarthritis has been somewhat neglected, according to a recently formed consortium that is advocating for more proactive diagnosis and intervention. Earlier screening and a less reactive approach might head off some of the worst of the difficulties and related treatment costs.
https://immattersacp.org/archives/2013/05/osteoarthritis.htm
1 May 2013
Start with bloodwork to diagnose anemia
Anemia is fairly common, but its many etiologies complicate diagnosis. It affects more than one in five black and Hispanic people, one in 10 seniors and one in five of those over the age of 85. Learn how to fine-tune the diagnosis to best help patients.
https://immattersacp.org/archives/2013/03/anemia.htm
1 Mar 2013