Best Practice & Research in Clinical Rheumatology最新文献

Correspondence on "Epidemiology of rheumatic diseases in tropical populations" by Goyal & Santhanam. Goyal & Santhanam关于“热带人群中风湿病流行病学”的通信。

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2025-05-22 DOI: 10.1016/j.berh.2025.102073

Benoit Suzon, Aurore Abel, Emmanuelle Sylvestre, Andre Cabie, Arthur Felix, Fabienne Louis-Sidney

引用次数: 0

RE: Response to Goyal & Santhanam best practice & research clinical rheumatology. 回复：对Goyal和Santhanam临床风湿病最佳实践和研究的回应。

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2025-05-15 DOI: 10.1016/j.berh.2025.102074

Mohit Goyal, Sham Santhanam

引用次数: 0

Rheumatic manifestations of HIV/AIDS. HIV/AIDS的风湿病表现。

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2025-05-14 DOI: 10.1016/j.berh.2025.102071

Aishwarya Gopal, Augustine Jose, Bharat Kumar Singh, Paul T Antony, Molly Mary Thabah

{"title":"Rheumatic manifestations of HIV/AIDS.","authors":"Aishwarya Gopal, Augustine Jose, Bharat Kumar Singh, Paul T Antony, Molly Mary Thabah","doi":"10.1016/j.berh.2025.102071","DOIUrl":"https://doi.org/10.1016/j.berh.2025.102071","url":null,"abstract":"Rheumatic manifestations of HIV infection encompass a wide spectrum of disorders, arising from direct viral effects, immune dysregulation, opportunistic infections, or antiretroviral therapy (ART)-induced complications. These manifestations can occur at any stage of HIV, and include arthralgia, HIV-associated arthritis, spondyloarthropathies (SpA), inflammatory myopathies, vasculitides, and opportunistic musculoskeletal infections. Arthralgia is common and self-limiting, whereas HIV-associated arthritis mimics rheumatoid arthritis. SpA, particularly reactive arthritis, psoriatic arthritis, and undifferentiated forms, often present atypically in HIV, with pathogenesis linked to immune dysfunction rather than HLA-B27. Inflammatory myopathies, including polymyositis and inclusion body myositis, exhibit distinct clinical features, often necessitating cautious immunomodulatory treatment. Opportunistic infections, such as septic arthritis and pyomyositis, are more frequent with advanced immunosuppression. The advent of HAART has modified the prevalence and presentation of these disorders, with immune reconstitution inflammatory syndrome (IRIS) emerging as a new challenge. Management strategies require balancing disease control with minimizing immunosuppressive risks.","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":" ","pages":"102071"},"PeriodicalIF":4.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081935","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

Clinical utility of ultrasound and MRI in rheumatoid arthritis: An expert review. 超声和MRI在类风湿关节炎中的临床应用：专家综述。

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2025-05-14 DOI: 10.1016/j.berh.2025.102072

David A Kellner, Nicolette T Morris, Stephanie M Lee, Joshua F Baker, Philip Chu, Veena K Ranganath, Gurjit S Kaeley, Howard H Yang

{"title":"Clinical utility of ultrasound and MRI in rheumatoid arthritis: An expert review.","authors":"David A Kellner, Nicolette T Morris, Stephanie M Lee, Joshua F Baker, Philip Chu, Veena K Ranganath, Gurjit S Kaeley, Howard H Yang","doi":"10.1016/j.berh.2025.102072","DOIUrl":"https://doi.org/10.1016/j.berh.2025.102072","url":null,"abstract":"Musculoskeletal ultrasound (MSUS) and magnetic resonance imaging (MRI) are advanced imaging techniques that are increasingly important in the diagnosis and management of rheumatoid arthritis (RA) and have significantly enhanced the rheumatologist's ability to assess RA disease activity and progression. This review serves as a five-year update to our previous publication on the contemporary role of imaging in RA, emphasizing the continued importance of MSUS and MRI in clinical practice and their expanding utility. The review examines the role of MSUS in diagnosing RA, differentiating RA from mimickers, scoring systems and quality control measures, novel longitudinal approaches to disease monitoring, and patient populations that may benefit most from MSUS. It also examines the role of MRI in diagnosing pre-clinical and early RA, disease activity monitoring, research and clinical trials, and development of alternative scoring approaches utilizing artificial intelligence. Finally, the role of MRI in RA diagnosis and management is summarized, and selected practice points offer key tips for integrating MSUS and MRI into clinical practice.","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":" ","pages":"102072"},"PeriodicalIF":4.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081934","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

Chikungunya and other viral arthritis. 基孔肯雅和其他病毒性关节炎。

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2025-05-12 DOI: 10.1016/j.berh.2025.102068

Arvind Chopra, Anuradha Venugopalan

{"title":"Chikungunya and other viral arthritis.","authors":"Arvind Chopra, Anuradha Venugopalan","doi":"10.1016/j.berh.2025.102068","DOIUrl":"https://doi.org/10.1016/j.berh.2025.102068","url":null,"abstract":"Several viruses cause acute and chronic arthritis. Millions of people suffered from Chikungunya(CHIK) during the recent epidemics/outbreaks in Asia, Africa and the Americas. Almost 20-40 % failed to recover completely and suffered from chronic pain and arthritis sequel. A wide spectrum of clinical phenotypic arthritis was described. Non-specific arthralgias(NSA) and soft tissue pains were predominant although inflammatory arthritis (mostly undifferentiated)(IA-U) was substantial. Specifically, rheumatoid arthritis(RA) and spondyloarthritis(SpA) like disorders were described. The frequency of biomarkers such as rheumatoid factor(RF) was low. Arthritis was mostly non-erosive in population studies. Abnormal immune mechanisms and persistent specific CHIK virus (CHIKV) IgM and IgG antibodies were shown. The etiopathogenetic evidence was divided between intense joint tissue inflammation due to prolonged virus persistence and abnormal autoimmune mechanisms. There was no specific therapy. The symptomatic management was often combined with an empirical use of disease modifying anti rheumatoid drugs and steroids. Substantial research is required to address knowledge gaps and unravel evidence-based medicine.","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":" ","pages":"102068"},"PeriodicalIF":4.5,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059311","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

Acute rheumatic fever and Post-streptococcal reactive arthritis. 急性风湿热和链球菌后反应性关节炎。

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2025-05-08 DOI: 10.1016/j.berh.2025.102067

Suma Balan, Manyam Prudhvi Krishna, Anand Sasidharan, C B Mithun

{"title":"Acute rheumatic fever and Post-streptococcal reactive arthritis.","authors":"Suma Balan, Manyam Prudhvi Krishna, Anand Sasidharan, C B Mithun","doi":"10.1016/j.berh.2025.102067","DOIUrl":"https://doi.org/10.1016/j.berh.2025.102067","url":null,"abstract":"Acute rheumatic fever (ARF) and poststreptococcal reactive arthritis (PSRA) represent two distinct but related poststreptococcal conditions, both arising from an autoimmune response following Group A streptococcal (GAS) infection, typically pharyngitis. Although both illnesses have a shared trigger, their clinical presentations and long-term consequences differ markedly. ARF, a systemic inflammatory disorder, can impact several organs, particularly the heart, potentially resulting in chronic rheumatic heart disease with irreversible valve damage. The cornerstone of ARF treatment includes Streptococcus eradication therapy, symptom management, and secondary prophylaxis to prevent recurrence. In contrast, PSRA primarily presents as non-infectious, nonmigratory, persistent arthritis without carditis and generally resolves without lasting sequelae. Distinguishing PSRA from ARF is crucial for appropriate management and to avoid unnecessary long-term antibiotic prophylaxis. This review focuses on the key clinical features and diagnostic approaches for ARF and PSRA, along with an overview of their management strategies.","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":" ","pages":"102067"},"PeriodicalIF":4.5,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056922","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

Best practice in rheumatology new developments in ultrasound and MRI imaging of pediatric rheumatic diseases. 风湿病的最佳实践：儿童风湿病超声和MRI成像的新发展。

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2025-05-07 DOI: 10.1016/j.berh.2025.102069

Johannes Roth, Clara Malattia

引用次数: 0

Imaging for inflammatory neuropathies. 炎性神经病变的影像学检查。

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2025-05-02 DOI: 10.1016/j.berh.2025.102066

Federico Zaottini, Federico Pistoia, Riccardo Picasso, Marta Macciò, Giovanni Marcenaro, Marina Grandis, Luana Benedetti, Carlo Martinoli

引用次数: 0

Emerging insights in tropical rheumatology: Challenges, clinical manifestations, and recent advances. 热带风湿病的新见解：挑战、临床表现和最新进展。

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2025-04-30 DOI: 10.1016/j.berh.2025.102070

A B Maharaj, V Ravindran

引用次数: 0

Interstitial lung disease imaging for autoimmune diseases. 自身免疫性疾病的间质性肺疾病影像学研究

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2025-04-24 DOI: 10.1016/j.berh.2025.102065

John P Lichtenberger, Sean Hagaman, Wesley Jong, Sydney Yee, Darwish Alabyad, Nadeem Kandalaft

引用次数: 0