Rheumatology Advisor Contributing Writer, Author at Rheumatology Advisor

Rheumatology Advisor Contributing Writer

All articles by Rheumatology Advisor Contributing Writer

ANA Indicative of Poor Response to bDMARDs in RA

Development of antinuclear antibodies (ANA) could indicate poor response in patients with rheumatoid arthritis (RA) undergoing treatment with biological disease-modifying antirheumatic drugs (bDMARDs), according to a study published in Seminars in Arthritis and Rheumatism. In this prospective single-center cohort study, patients with RA were recruited to determine associations between treatment response and ANA development, during…

Cardiovascular changes associated with AS may begin early in the disease process. Thus, assessment of cardiovascular risk should be routine for all patients affected with this disease. Preventing CVD or cardiovascular death depends on early identification and effective management of traditional cardiovascular risk factors such as hypertension or hypercholesterolemia. Despite their importance, screening and treatment of CVD risk factors in patients with rheumatic diseases are often suboptimal. One reason for suboptimal management may be confusion over who is responsible for monitoring cardiovascular risk in patients with AS.[14] The lack of disease-specific guidelines for risk assessment is another concern. Ensuring patients with AS are screened and managed appropriately for CVD will require collaboration between the rheumatologist or specialist nurse, the general practitioner, and the patient.[14]

Cardiovascular Risk Higher Among Black Patients With Rheumatoid Arthritis

Researchers found that data showed that a high percentage of black patients with rheumatoid arthritis had a cardiovascular disease factor and that about half had specific rheumatoid arthritis risk factors, such as joint erosions, elevated inflammatory markers, extra-articular disease, and body mass indexes below 20, which requires effective intervention.

doctor talking to older patient

New Clinical Rule May Help Physicians Identify Inflammatory Arthritis

Researchers created a model for general practitioners to use for patients who are atypical for detection of inflammatory arthritis, which included difficulty forming a fist, joint swelling (self-reported), between 1 and 3 painful joints, stiffness <1 hour in the morning, fewer than 6 weeks of symptom duration, male gender, and age of at least 60 years.

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