Journal of Rheumatology最新文献_第7页

Introducing "Rheumatology Around the World". 介绍 "世界各地的风湿病学"。

IF 3.6 2区医学

Journal of Rheumatology Pub Date : 2024-11-01 DOI: 10.3899/jrheum.2024-0907

Earl D Silverman

引用次数: 0

Systemic Sclerosis Sine Scleroderma: A Time of Reappraisal. 无硬皮病的系统性硬化症：重新评估的时机。

IF 3.6 2区医学

Journal of Rheumatology Pub Date : 2024-11-01 DOI: 10.3899/jrheum.2023-1113

Anastasios Makris, Alexandros Panagiotopoulos, Oliver Distler, Petros P Sfikakis

{"title":"Systemic Sclerosis Sine Scleroderma: A Time of Reappraisal.","authors":"Anastasios Makris, Alexandros Panagiotopoulos, Oliver Distler, Petros P Sfikakis","doi":"10.3899/jrheum.2023-1113","DOIUrl":"10.3899/jrheum.2023-1113","url":null,"abstract":"Objective: Systemic sclerosis sine scleroderma (ssSSc), formally described in 1962, is a subset of SSc that, unlike limited cutaneous (lcSSc) and diffuse cutaneous (dcSSc) forms, lacks skin fibrosis. According to the 2013 American College of Rheumatology/European Alliance of Associations for Rheumatology criteria, SSc can be diagnosed in the absence of skin thickening, even if this is expected to develop later in disease course. Driven by a fatal case of ssSSc with cardiac involvement, we analyzed published data on ssSSc prevalence and severity.Methods: A systematic literature review and qualitative synthesis of SSc cohorts with data on ssSSc were performed.Results: Thirty-five studies involving a total of 25,455 patients with SSc, published between 1976 and 2023, were identified. Although different definitions were used, the mean prevalence of ssSSc was almost 10% (range 0-23%), with the largest study reporting a cross-sectional prevalence of 13%. In 5 studies with a follow-up period of up to 9 years, reclassification of ssSSc into lcSSc or dcSSc ranged 0-28%. Interstitial lung disease, pulmonary arterial hypertension, scleroderma renal crisis, and cardiac diastolic dysfunction were present in 46% (range 9.3-59.1%), 15% (range 5.9-24.6%), 5% (range 1.6-24.6%), and 26.5% (range 1.8-40.7), respectively, of patients with ssSSc. Survival across studies was comparable to lcSSc and better than dcSSc.Conclusion: Published data on ssSSc vary widely on prevalence, clinical expression, and prognosis, partly due to underdiagnosis and misclassification. Although classification criteria should not affect appropriate management of patients, updated ssSSc subclassification criteria that takes into account time from disease onset should be considered.","PeriodicalId":50064,"journal":{"name":"Journal of Rheumatology","volume":" ","pages":"1060-1068"},"PeriodicalIF":3.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Remission Is the Mission in Gout. 缓解是痛风的使命

IF 3.6 2区医学

Journal of Rheumatology Pub Date : 2024-11-01 DOI: 10.3899/jrheum.2024-0921

Till Uhlig

引用次数: 0

Infected Tumoral Calcinosis Associated With Rheumatoid Arthritis. 类风湿性关节炎相关的感染性肿瘤钙化症

IF 3.6 2区医学

Journal of Rheumatology Pub Date : 2024-11-01 DOI: 10.3899/jrheum.2024-0761

Eri Sugawara, Keita Ninagawa, Kazuaki Katsumata

引用次数: 0

Mucosa-Associated Lymphoid Tissue Lymphoma as a Rare Mimicker of Relapsing Polychondritis. 粘膜相关淋巴组织淋巴瘤是复发性多软骨炎的罕见模仿者

IF 3.6 2区医学

Journal of Rheumatology Pub Date : 2024-11-01 DOI: 10.3899/jrheum.2024-0837

Norihisa Tada, Nao Oguro, Nobuyuki Yajima

引用次数: 0

Hydrocephalus-Related Dementia in Paget Disease of the Skull. 颅骨帕格特病中与脑积水相关的痴呆症

IF 3.6 2区医学

Journal of Rheumatology Pub Date : 2024-11-01 DOI: 10.3899/jrheum.2024-0818

João Daniel Ferreira Carvalho, José Carlos Romeu

引用次数: 0

Potential Efficacy of Janus Kinase Inhibitors in the Treatment of a Patient With Coexisting Peripheral and Axial Spondyloarthritis and Ulcerative Colitis. Janus 激酶抑制剂在治疗并存外周和轴性脊柱关节炎及溃疡性结肠炎患者中的潜在疗效。

IF 3.6 2区医学

Journal of Rheumatology Pub Date : 2024-11-01 DOI: 10.3899/jrheum.2024-0055

Sho Ishigaki, Nobuhiko Kajio, Noritada Yoshikawa, Hiroaki Taguchi

引用次数: 0

Finding the Role of Anifrolumab in the New Paradigm of Systemic Lupus Erythematosus Treatment. 在系统性红斑狼疮治疗的新范例中寻找阿尼洛单抗的作用。

IF 3.6 2区医学

Journal of Rheumatology Pub Date : 2024-11-01 DOI: 10.3899/jrheum.2024-0900

Romina Estefanía Nieto, Graciela S Alarcón, Laurent Arnaud, Guillermo Javier Pons-Estel

引用次数: 0

Stop Interfering! A Reflection on the Intrusive and Elusive Nature of Pain in Juvenile Idiopathic Arthritis. 停止干扰！反思青少年特发性关节炎患者疼痛的侵扰性和难以捉摸性。

IF 3.6 2区医学

Journal of Rheumatology Pub Date : 2024-11-01 DOI: 10.3899/jrheum.2024-0875

Tara R McGrath, Dax G Rumsey

引用次数: 0

The Significance of Intracellular Versus Extracellular Calcium Pyrophosphate Crystals in Diagnosing Calcium Pyrophosphate Crystal Arthritis. 细胞内焦磷酸钙晶体与细胞外焦磷酸钙晶体在诊断焦磷酸钙晶体性关节炎中的意义。

IF 3.6 2区医学

Journal of Rheumatology Pub Date : 2024-11-01 DOI: 10.3899/jrheum.2024-0469

David J Harris, Douglas H N White, Uri M Arad

{"title":"The Significance of Intracellular Versus Extracellular Calcium Pyrophosphate Crystals in Diagnosing Calcium Pyrophosphate Crystal Arthritis.","authors":"David J Harris, Douglas H N White, Uri M Arad","doi":"10.3899/jrheum.2024-0469","DOIUrl":"10.3899/jrheum.2024-0469","url":null,"abstract":"Objective: Acute and chronic calcium pyrophosphate (CPP) crystal arthritis is characterized by the presence of synovial CPP crystals within a clinically inflamed joint. CPP crystals may be situated intracellularly or extracellularly; however, the clinical significance of their location remains understudied. The objective of this retrospective cohort study was to assess the relevance of the CPP crystal location in diagnosing acute/chronic CPP crystal arthritis.Methods: Data were collected from Waikato District Health Board to identify a study population with synovial fluid samples positive for CPP crystals. The cohort was stratified into 2 groups based on crystal location: intracellular and extracellular. The proportions of acute/chronic CPP crystal arthritis cases were compared between these groups. Acute/chronic CPP crystal arthritis was diagnosed when synovial CPP crystals were present, with objective evidence of joint inflammation and no other alternative diagnosis. Further analysis was made with respect to demographics, other laboratory results, and cartilage calcification.Results: This study included 134 patients: 108 with intracellular CPP crystals and 26 with extracellular CPP crystals. Acute/chronic CPP crystal arthritis was diagnosed in 85% of cases in the intracellular and 50% in the extracellular group (P < 0.001). Following exclusion of septic arthritis cases, acute/chronic CPP crystal arthritis was diagnosed in 97% of patients in the intracellular group and in 62% of those in the extracellular group (P < 0.001).Conclusion: The presence of intracellular CPP crystals is more strongly associated with acute/chronic CPP crystal arthritis than with extracellular CPP crystals alone.","PeriodicalId":50064,"journal":{"name":"Journal of Rheumatology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0