Search results for "Rheumatoid arthritis"
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
Methotrexate may decrease rates of large-joint replacement in RA patients taking TNF inhibitors
Patients with rheumatoid arthritis (RA) treated with tumor necrosis factor (TNF) inhibitors may have lower rates of large-joint replacement when also taking methotrexate, a new study indicates.
https://immattersacp.org/weekly/archives/2015/04/14/5.htm
14 Apr 2015
Noninvasive treatment almost always best for knee pain
Knee symptoms are the most common musculoskeletal reason why patients visit their doctors, and in most cases, except when breaks or infection is suspected, physicians should recommend the use of nonsurgical treatments first.
https://immattersacp.org/archives/2016/04/knees.htm
1 Apr 2016
MKSAP Quiz: preoperative evaluation for knee replacement
A 66-year-old man comes for a preoperative evaluation before total joint arthroplasty of the left knee. He has a 25-year history of rheumatoid arthritis. He has had progressive pain in his left knee with activity, which limits his ability to hike. The patient has similar pain in the right knee, but it is less severe. He reports no recent morning stiffness. He is able to climb two or three flights of stairs without chest pain or shortness of breath. He has no other medical problems and reports no additional symptoms. Medications are methotrexate and folic acid. Following a physical exam and lab tests, what is the next best step in management?
https://immattersacp.org/weekly/archives/2014/10/28/3.htm
28 Oct 2014
Boxed warning added to gout drug, more ARBs recalled
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2019/04/boxed-warning-added-to-gout-drug-more-arbs-recalled.htm
1 Apr 2019
TNF agents for rheumatic diseases associated with increased skin cancer risk
Tumor necrosis factor inhibitors used to treat rheumatoid arthritis are associated with an increased risk of skin cancer but not lymphoma, according to a meta-analysis.
https://immattersacp.org/weekly/archives/2011/09/13/2.htm
13 Sep 2011
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
Clarification to a previous issue
A recent item in ACP InternistWeekly should have noted that new criteria on rheumatoid arthritis were jointly published in the September Arthritis & Rheumatism and the September Annals of the Rheumatic Diseases. The item has been updated.
https://immattersacp.org/weekly/archives/2010/08/31/11.htm
31 Aug 2010
MKSAP Quiz: joint pain and plaque psoriasis
A 44-year-old man is evaluated for a 2-year history of joint pain in the wrists, hands, knees, ankles, and feet. He also has a 12-year-history of plaque psoriasis. There are large erythematous plaques with an overlying silvery scale on the elbows, knees, sacrum, and scalp. The wrists are swollen and warm bilaterally, and there is bilateral synovitis of the metacarpophalangeal joints. There are effusions on both knees. The appearance of the toes is shown. The patient refuses to begin therapy with tumor necrosis factor ##alpha; inhibitors because of concern about possible side effects. What is the most appropriate treatment for this patient?.
https://immattersacp.org/archives/2010/11/mksap.htm
1 Nov 2010
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